Organization
PEDIATRIC & ADOLESCENT URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN LILLIS MD (OWNER)
(716) 636-5437
Entity
Organization
Contact information
Practice address
1800 MAPLE RD, WILLIAMSVILLE, NY 14221-2749
(716) 636-5437
(716) 636-5439
Mailing address
1800 MAPLE RD, WILLIAMSVILLE, NY 14221-2749
(716) 636-5437
(716) 636-5439
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
F340754-1
NY
Other
Enumeration date
02/06/2017
Last updated
02/06/2017
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