| NPI | 1043745037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RORY P HOUGHTALEN Sole Mbr 585-586-1600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 168914) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |