Organization
WESTERN NEW YORK BLOODCARE, INC.
Active
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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