| Organization Name: | EXPRESS MEDICAL CARE OF WNY PLLC |
| NPI Number: | 1134459241 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOSEPH R TAKATS (OFFICER) |
| Mailing Address: | 2949 Elmwood Ave Suite 104 Kenmore |
| State: | NY US |
| Postal Code: | 142171356 |
| Phone Number: | 7164478868 |
| Fax Number: | 7164478892 |
| NPI Enumeration Date: | 01/12/2010 |
| NPI Last Update Date: | 01/12/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |