Healthcare Provider Details

I. General information

NPI: 1952433757
Provider Name (Legal Business Name): WESTERN NEW YORK BLOODCARE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/09/2007
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1010 MAIN ST STE 300
BUFFALO NY
14202-1102
US

IV. Provider business mailing address

1010 MAIN ST STE 300
BUFFALO NY
14202-1449
US

V. Phone/Fax

Practice location:
  • Phone: 716-896-2470
  • Fax: 716-218-4010
Mailing address:
  • Phone: 716-896-2470
  • Fax: 716-218-4010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number1401203R
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code3336H0001X
TaxonomyHome Infusion Therapy Pharmacy
License Number031796
License Number StateNY

VIII. Authorized Official

Name: TOM GREICO
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 716-218-4001