| NPI | 1003806746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN KAVCIC Partner 716-558-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 164517) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 202290) |
| Enumeration Date | 2005-10-25 |
| Last Update Date | 2012-06-08 |