Organization
ERIE COUNTY MEDICAL CENTER CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICOLETTE WILSON (VICE PRESIDENT REVENUE CYCLE)
(716) 898-3735
Entity
Organization
Contact information
Practice address
462 GRIDER ST RM 111-02D, BUFFALO, NY 14215-3021
(716) 898-3727
Mailing address
462 GRIDER ST RM 111-02D, BUFFALO, NY 14215-3021
(716) 898-3727
Taxonomy
Speciality
Code
Description
License number
State
3336C0003X
Community/Retail Pharmacy
Primary
—
—
3336S0011X
Specialty Pharmacy
—
—
Other
Enumeration date
12/21/2021
Last updated
03/04/2022
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