| NPI | 1144620980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HUY LE Chief Medical Officer 716-995-4450 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208D00000X General Practice (Licence: NY 275960) |
| Enumeration Date | 2014-08-29 |
| Last Update Date | 2020-12-17 |