| NPI | 1053403717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL J EDWARDS Practice Manager 585-249-1950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck |
| 2082S0105X Plastic Surgery, Surgery of the Hand | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2022-12-19 |