| NPI | 1134516735 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN BALDASSARI Md/Sole Proprietor 716-871-0003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 167163-1) |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2015-04-21 |