Faxton St Lukes Healthcare

NPI #1154764934 in Utica, New York

Provider Information

NPI Number
1154764934
Entity Type
Organization
Organization Name
Faxton St Lukes Healthcare
Subpart
Yes (part of a larger organization)
Parent Organization
FAXTON ST LUKES HEALTHCARE
Primary Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date
Apr 11, 2013
Last Updated
Jul 12, 2023

Practice Location

Address
1650 CHAMPLIN AVE
City
Utica
ZIP Code
13502
Phone
(315) 624-5145

Authorized Official

Name
CODY WHITE
Title
EXECUTIVE DIRECTOR
Phone
(315) 801-4429

Specialties & Taxonomy Codes

Specialty
Clinic/Center - End-Stage Renal Disease (ESRD) TreatmentEnd-Stage Renal Disease (ESRD) Treatment

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