Organization
WESTERN NEW YORK BLOODCARE, INC.
Active
Other names
Hemophilia Center of Western New York, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAUREL A REGER MHSA (EXECUTIVE DIRECTOR)
(716) 896-2470
Entity
Organization
Contact information
Practice address
1010 MAIN ST STE 300, BUFFALO, NY 14202-1102
(716) 896-2470
(716) 218-4010
Mailing address
1010 MAIN ST STE 300, BUFFALO, NY 14202-1102
(716) 896-2470
(716) 218-4010
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1401203R
NY
3336H0001X
Home Infusion Therapy Pharmacy
031796
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000502000
BLUE CROSSBLUE SHIELD
NY
01
—
00011181601
UNIVERA
NY
05
—
00474864
—
NY
Enumeration date
03/09/2007
Last updated
02/05/2020
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