| NPI | 1073885836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOBI MARC BERCHEN Sole Proprietor 585-243-4041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 228916) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-04-05 |