Organization
WESTERN NEW YORK DC, LLC
Active
Other names
Suburban Dialysis Center
Organization subpart
No
Provider details
NPI number
Authorized official
HERBERT S LAWSON (CFO)
(303) 785-7521
Entity
Organization
Contact information
Practice address
1542 MAPLE RD, WILLIAMSVILLE, NY 14221-3625
(716) 636-3300
(716) 636-1893
Mailing address
2100 CENTRAL AVE, SUITE 201, BOULDER, CO 80301-2838
(303) 785-7523
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
1401229R
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000378001
BLUE CROSS PROVIDER NUMBE
NY
05
—
01984981
—
NY
Enumeration date
11/21/2006
Last updated
08/22/2020
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us