| NPI | 1073795217 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JOSEPH L MADDI Owner 716-634-0281  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 149577-1)  | 
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 149577-1)  | 
| Enumeration Date | 2007-11-29 | 
| Last Update Date | 2010-05-28 |