| NPI | 1154034429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CAVARETTA Revenue Cycley Manager 716-208-1708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-01-03 |