| NPI | 1083716088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA GRAHAM Hr Credentilaing Specialist 585-423-2816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 2701211R) |
| Additional Taxonomies | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2019-06-26 |