Organization
LIBERTY RC INC
Active
Other names
Dunkirk Dialysis
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL WEY (ASSISTANT SECRETARY)
(615) 341-6641
Entity
Organization
Contact information
Practice address
3958 VINEYARD DR, DUNKIRK, NY 14048-3522
(716) 366-1931
(716) 366-2105
Mailing address
5200 VIRGINIA WAY, L&C DEPT, BRENTWOOD, TN 37027-7569
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05397397
—
NY
Enumeration date
08/28/2017
Last updated
10/17/2025
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