| NPI | 1073983201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERYL ANN MUELLER Nurse 716-491-1850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 2944464-1) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2015-09-30 |