Organization
ENDOSCOPY CENTER OF WESTERN NEW YORK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAT GRAHAM (ADMINISTRATOR)
(716) 332-1000
Entity
Organization
Contact information
Practice address
60 MAPLE RD, SUITE 2, WILLIAMSVILLE, NY 14221-2917
(716) 332-1000
(716) 204-4549
Mailing address
60 MAPLE RD STE 2, WILLIAMSVILLE, NY 14221-2917
(716) 332-1000
(716) 204-4549
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02578949
—
NY
01
—
141202R
OPERATING CERTIFICATE
NY
01
—
465
BCBS ID
NY
01
—
63056
AAAHC ACCREDIATION
—
Enumeration date
06/30/2005
Last updated
11/04/2025
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