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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
621 TENTH STREET, NIAGARA FALLS, NY 14302
(716) 282-0182
(716) 282-7351
Mailing address
621 TENTH STREET, NIAGARA FALLS, NY 14302
(716) 282-0182
(716) 282-7351

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
01
00011419902
UNIVERA HEALTH CARE
05
02394076
NY
01
358002
BLUE CROSS BLUE SHIELD
01
P7
INDEPENDENT HEALTH
Enumeration date
07/31/2006
Last updated
08/22/2020
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