Provider Demographics
NPI:1518407980
Name:UTICA PARTNERS LLC
Entity Type:Organization
Organization Name:UTICA PARTNERS LLC
Other - Org Name:DIALYSIS CENTER OF ONEIDA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF NURSING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SARA
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:BRADY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:208-371-7878
Mailing Address - Street 1:2142 GLENWOOD SHOPPING PLZ
Mailing Address - Street 2:
Mailing Address - City:ONEIDA
Mailing Address - State:NY
Mailing Address - Zip Code:13421-2718
Mailing Address - Country:US
Mailing Address - Phone:315-363-1393
Mailing Address - Fax:315-363-2402
Practice Address - Street 1:2142 GLENWOOD SHOPPING PLZ
Practice Address - Street 2:
Practice Address - City:ONEIDA
Practice Address - State:NY
Practice Address - Zip Code:13421-2718
Practice Address - Country:US
Practice Address - Phone:315-363-1393
Practice Address - Fax:315-363-2402
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-03
Last Update Date:2023-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment