| NPI | 1093007122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M MAGILL Psychiatric Nurse Practitioner 716-634-3838 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NY F401288-1) |
| Enumeration Date | 2011-05-09 |
| Last Update Date | 2011-05-09 |