# PEDIATRIC & ADOLESCENT URGENT CARE

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

## Provider details

- **NPI number:** 1821536244
- **Authorized official:** KATHLEEN LILLIS MD (OWNER)
- **Authorized official phone:** (716) 636-5437

## Contact information

- **Practice address:** 1800 MAPLE RD, WILLIAMSVILLE, NY 14221-2749
- **Practice address phone:** (716) 636-5437
- **Practice address fax:** (716) 636-5439
- **Mailing address:** 1800 MAPLE RD, WILLIAMSVILLE, NY 14221-2749
- **Mailing address phone:** (716) 636-5437
- **Mailing address fax:** (716) 636-5439

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | F340754-1 | NY | Yes |

## Other

- **Enumeration date:** 02/06/2017
- **Last updated:** 02/06/2017