| NPI | 1104106186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORIANNE ELIZABETH PEREIRA Md/Owner 716-608-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2011-08-23 |
| Last Update Date | 2011-08-23 |