Organization
RENAL CARE OF NORTHERN NEW YORK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL SLOMA (PRESIDENT)
(716) 282-2200
Entity
Organization
Contact information
Practice address
19320 WASHINGTON STREET, SUITE II, WATERTOWN, NY 13601
(716) 282-2200
Mailing address
3510 HYDE PARK BLVD, NIAGARA FALLS, NY 14305-2204
(716) 282-2200
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
11/20/2006
Last updated
08/22/2020
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