# NIAGARA ADVANTAGE HEALTH PLAN, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Elderwood Health Plan
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396124772
- **Authorized official:** MR. GREGORY B. HOOK (CHIEF COMPLIANCE OFFICER)
- **Authorized official phone:** (212) 802-7609

## Contact information

- **Practice address:** 7 LIMESTONE DR, WILLIAMSVILLE, NY 14221-7051
- **Practice address phone:** (716) 633-3900
- **Mailing address:** 7 LIMESTONE DR, WILLIAMSVILLE, NY 14221-7051
- **Mailing address phone:** (716) 633-3900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 05/19/2015
- **Last updated:** 05/19/2015