| NPI | 1104134048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRIYA D. MOHANTY President 716-238-1782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 224111) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2013-07-16 |