| NPI | 1013412576 |
|---|---|
| Doing Business As | DIABETES PREVENTION RECOGNITION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | PATRICIA J PATTON Manager Provider Enrollment 585-922-0527 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2018-03-27 |
| Last Update Date | 2018-03-27 |