NPI 1417589904

Witness Cares, LLC

Organisation Health Maintenance Organization Buffalo, NY

Practice location

Address: Elm and Carlton St, Buffalo, NY 14263-0001
Phone: (716) 302-4137
Fax: (716) 845-3511
Mailing address: 535 Wyoming Ave STE a, Buffalo, NY 14215-3137

Authorised official

Name: Detric D Johnson
Title: President
Phone: (716) 302-4137

Registered specialties

Health Maintenance Organization Primary

Managed Care Organizations Taxonomy 302R00000X

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Registry record

NPI: 1417589904
Entity type: Organization
NPI issued: 12 Feb 2020
Record last updated: 12 Feb 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.