Organization
ERIE COUNTY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE F. IDE MS., ED (SPECIAL EDUCATION TEACHER)
(716) 826-8010
Entity
Organization
Contact information
Practice address
119 WALTERCREST TER, WEST SENECA, NY 14224-3843
(716) 308-2528
Mailing address
119 WALTERCREST TER, WEST SENECA, NY 14224-3843
(716) 308-2528
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
959012991
NY
Other
Enumeration date
09/17/2008
Last updated
09/17/2008
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