Provider Demographics
NPI:1497824536
Name:UPSTATE NEW YORK TRANSPLANT SERVICES INC
Entity Type:Organization
Organization Name:UPSTATE NEW YORK TRANSPLANT SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VP - FINANCE & OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:FREDRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:GILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-529-4304
Mailing Address - Street 1:4444 BRYANT AND STRATTON WAY
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-6013
Mailing Address - Country:US
Mailing Address - Phone:716-529-4000
Mailing Address - Fax:
Practice Address - Street 1:4444 BRYANT STRATTON WAY
Practice Address - Street 2:
Practice Address - City:WILLIAMSVILLE
Practice Address - State:NY
Practice Address - Zip Code:14221-6013
Practice Address - Country:US
Practice Address - Phone:716-529-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-06
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335U00000XSuppliersOrgan Procurement Organization