Organization
INDEPENDENT NURSING CARE L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JULIE A GEMEREK RN, BSN (OWNER)
(716) 655-8776
Entity
Organization
Contact information
Practice address
1038 DAVIS ROAD, 1038 DAVIS ROAD, WEST FALLS, NY 14170-0489
(716) 655-8776
(716) 655-7877
Mailing address
1038 DAVID ROAD, PO BOX 489, WEST FALLS, NY 14170-0489
(716) 655-8776
(716) 655-7877
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
1202L001
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030463102
UNIVERA
NY
01
—
000512767002
BLUE CROSS BLUE SHIELD
NY
01
—
0007352073
AETNA
NY
01
—
103356CI
PREFERRED CARE
NY
01
—
8390051
INDEPENDENT HEALTH
NY
01
—
P00202877
RAILROAD MEDICARE
NY
Enumeration date
07/07/2006
Last updated
08/22/2020
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