PEDIATRIC AND ADOLESCENT URGENT CARE OF WESTERN NEW YORK
Ambulatory Health at Maple Rd, Buffalo, NY

License number
New York 176526
Category
Ambulatory Health
Type
Urgent Care
Owner
Name: DR. KATHLEEN ANNE LILLIS M.D.
Title: PRESIDENT
Phone: (716) 636-5437
Address
Address
1800 Maple Rd SUITE 100, Buffalo, NY 14221
National Provider ID: 1922300516
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PEDIATRIC AND ADOLESCENT URGENT CARE OF WESTERN NEW YORK, PLLC

81 Promenade Ln, Buffalo, NY 14221

Registration:
Jul 30, 2010
State ID:
3979140
Business type:
DOMESTIC PROFESSIONAL SERVICE LIMITED LIABILITY COMPANY

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