Provider Demographics
NPI:1629242649
Name:NATIONAL KIDNEY FOUNDATION OF WESTERN NEW YORK
Entity Type:Organization
Organization Name:NATIONAL KIDNEY FOUNDATION OF WESTERN NEW YORK
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:KC
Authorized Official - Last Name:MCCOOEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-835-1323
Mailing Address - Street 1:300 DELAWARE AVE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:BUFFALO
Mailing Address - State:NY
Mailing Address - Zip Code:14202-1807
Mailing Address - Country:US
Mailing Address - Phone:716-835-1323
Mailing Address - Fax:716-835-2281
Practice Address - Street 1:300 DELAWARE AVE
Practice Address - Street 2:SUITE 101
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14202-1807
Practice Address - Country:US
Practice Address - Phone:716-835-1323
Practice Address - Fax:716-835-2281
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-22
Last Update Date:2008-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable