Organization · Type 2 NPI

Faxton ST Lukes Healthcare

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Utica, NY

NPI number 1124228770 Active

Practice location

2150 Bleecker St
Utica, NY 13501-1738

Mailing address

PO Box 4849
Utica, NY 13504-4849

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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About NPI 1124228770

Faxton ST Lukes Healthcare's National Provider Identifier is 1124228770, issued on Jul 23, 2007. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Utica, NY. The record was last updated on Jul 12, 2023.