| NPI | 1144415167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET LAW Billing Manager 716-656-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 202393) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: NY 202393) |
| Enumeration Date | 2007-09-12 |
| Last Update Date | 2012-12-11 |