| NPI | 1114060068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KNEBEL Billing Manager 585-275-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0203X Pediatrics, Pediatric Critical Care Medicine |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |