Organization
KIDZ XPRESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN M STEAD PNP (PRESIDENT)
(716) 625-4343
Entity
Organization
Contact information
Practice address
3571 NIAGARA FALLS BLVD, SUITE 14, NORTH TONAWANDA, NY 14120-1200
(716) 693-6365
(716) 693-6939
Mailing address
PO BOX 4098, NIAGARA FALLS, NY 14304-8098
(716) 693-6365
(716) 693-6939
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
F-381393
NY
Other
Enumeration date
05/26/2008
Last updated
05/26/2008
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