Organization
FAXTON ST LUKES HEALTHCARE
Active
Parent organization
FAXTON ST LUKES HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
FAXTON ST LUKES HEALTHCARE
Authorized official
CODY WHITE (DIRECTOR OF REVENUE CYCLE)
(315) 801-4429
Entity
Organization
Contact information
Practice address
221 BROAD ST., ONEIDA, NY 13421
(315) 366-0360
(315) 624-5152
Mailing address
2209 GENESEE STREET, BUSINESS OFFICE ROOM 315, UTICA, NY 13501
(315) 801-3282
(315) 801-8391
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
3203003H
NY
Other
Enumeration date
10/10/2006
Last updated
07/12/2023
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