Organization · Type 2 NPI

Liberty RC Inc

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

NPI number 1619377330 Active

Practice location

2932 Military Rd
Niagara Falls, NY 14304-1252

Call (716) 297-4059 Map

Fax (716) 297-4969

Mailing address

5200 Virginia Way, L & C Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

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

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NPI record

NPI: 1619377330
Entity type: Organization (Type 2)
Issued: Aug 29, 2014
Last updated: Dec 6, 2024
Status: Active

Other names

<unavail>
Niagara Dialysis Center · doing business as
Niagara Dialysis Center · doing business as

Authorized official

Samuel T Wey
VP Licensure & Certification
(615) 341-6641

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1619377330

Liberty RC Inc's National Provider Identifier is 1619377330, issued on Aug 29, 2014. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Niagara Falls, NY. The record was last updated on Dec 6, 2024.