Organization
APOLLO HEALTHCARE LLC
Active
Other names
Niagara Renal Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL S SLOMA (PRESIDENT CEO)
(716) 282-2200
Entity
Organization
Contact information
Practice address
3018 MILITARY ROAD, NIAGARA FALLS, NY 14304
(716) 298-4195
(716) 298-5964
Mailing address
3018 MILITARY ROAD, NIAGARA FALLS, NY 14304
(716) 298-4195
(716) 298-5964
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
3102205R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011419902
UNIVERA HEALTHCARE
—
05
—
02394076
—
NY
01
—
358002
BLUE CROSS BLUE SHIELD
—
01
—
P7
INDEPENDENT HEALTH
—
Enumeration date
07/24/2006
Last updated
08/22/2020
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