| NPI | 1104087915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT STALL CEO 716-833-3237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 163872) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2018-08-17 |