Organization
PEDIATRIC AND ADOLESCENT URGENT CARE OF WESTERN NEW YORK
Active
Other names
Peds Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
PETER GRISANTI (CFO)
(716) 807-7435
Entity
Organization
Contact information
Practice address
1800 MAPLE RD, SUITE 100, WILLIAMSVILLE, NY 14221-2749
(716) 636-5437
(716) 636-5439
Mailing address
1800 MAPLE RD, SUITE 100, WILLIAMSVILLE, NY 14221-2749
(716) 636-5437
(716) 636-5439
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
176526
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01302767
—
NY
Enumeration date
12/02/2010
Last updated
09/20/2023
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