Organization · Type 2 NPI

Faxton ST Lukes Healthcare

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

NPI number 1154764934 Active

Practice location

1650 Champlin Ave
Utica, NY 13502

Fax (315) 624-6113

Mailing address

2209 Genesee St/ Business Office, Room #315
Utica, NY 13501-5809

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700X3203003H (NY)

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

12 other providers at this address

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About NPI 1154764934

Faxton ST Lukes Healthcare's National Provider Identifier is 1154764934, issued on Apr 11, 2013. 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.