# ERIE COUNTY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013166818
- **Authorized official:** MRS. RENEE F. IDE MS., ED (SPECIAL EDUCATION TEACHER)
- **Authorized official phone:** (716) 826-8010

## Contact information

- **Practice address:** 119 WALTERCREST TER, WEST SENECA, NY 14224-3843
- **Practice address phone:** (716) 308-2528
- **Mailing address:** 119 WALTERCREST TER, WEST SENECA, NY 14224-3843
- **Mailing address phone:** (716) 308-2528

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 252Y00000X | Early Intervention Provider Agency | 959012991 | NY | Yes |

## Other

- **Enumeration date:** 09/17/2008
- **Last updated:** 09/17/2008
