| NPI | 1013629377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMYLYNN BRYNIARSKI Practice Administrator 716-633-7386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Enumeration Date | 2022-12-19 |
| Last Update Date | 2022-12-19 |