Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Liberty Rc Inc

Organization End-Stage Renal Disease (ESRD) Treatment Clinic/Center · NPI 1245763804

Liberty Rc Inc is an End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Buffalo, New York. Registered with an NPI since 2017.

In the registry since
2017
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

699 Hertel Ave Ste 380
Buffalo, NY 14207-2355
Phone: (716) 871-4172
Fax: (716) 447-0230
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

End-Stage Renal Disease (ESRD) Treatment Clinic/Center (primary) Taxonomy 261QE0700X

Record details

NPI number1245763804
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Winstel — Chief Accounting Officer · (253) 733-4501
Other names Hertel Avenue Dialysis; Hertel Avenue Dialysis
NPI enumeratedApril 10, 2017
Last updated in NPPESNovember 16, 2020
Certification dateNovember 16, 2020
Mailing address5200 Virginia Way, L & C Dept, Brentwood, TN 37027-7569

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