| NPI | 1144878893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS ANTHONY CUMBO President/Owner 716-204-1101 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207XS0106X Orthopaedic Surgery Hand Surgery | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant Medical | |
| 363AS0400X Physician Assistant Surgical | |
| 363LA2200X Nurse Practitioner Adult Health | |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2019-08-27 |