# WYOMING COUNTY

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

## Provider details

- **NPI number:** 1316924913
- **Authorized official:** MR. MICHAEL A. CORCIMIGLIA (COO)
- **Authorized official phone:** (585) 786-8940

## Contact information

- **Practice address:** 400 N MAIN ST, WARSAW, NY 14569-1025
- **Practice address phone:** (585) 786-2233
- **Practice address fax:** (585) 786-1222
- **Mailing address:** 400 N MAIN ST, WARSAW, NY 14569-1025
- **Mailing address phone:** (585) 786-2233
- **Mailing address fax:** (585) 786-1222

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0700X | End-Stage Renal Disease (ESRD) Treatment Clinic/Center | — | NULL | — |
| 282NR1301X | Rural Acute Care Hospital | 6027000H | NY | Yes |

## Other

- **Enumeration date:** 12/27/2005
- **Last updated:** 04/15/2022