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 |