# KIDZ XPRESS

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

## Provider details

- **NPI number:** 1629236823
- **Authorized official:** MRS. SUSAN M STEAD PNP (PRESIDENT)
- **Authorized official phone:** (716) 625-4343

## Contact information

- **Practice address:** 3571 NIAGARA FALLS BLVD, SUITE 14, NORTH TONAWANDA, NY 14120-1200
- **Practice address phone:** (716) 693-6365
- **Practice address fax:** (716) 693-6939
- **Mailing address:** PO BOX 4098, NIAGARA FALLS, NY 14304-8098
- **Mailing address phone:** (716) 693-6365
- **Mailing address fax:** (716) 693-6939

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QE0002X | Emergency Care Clinic/Center | F-381393 | NY | Yes |

## Other

- **Enumeration date:** 05/26/2008
- **Last updated:** 05/26/2008
