| NPI | 1023338118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH O SULLIVAN Physician 716-834-4141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 100021) |
| Enumeration Date | 2010-06-11 |
| Last Update Date | 2010-08-19 |