| NPI | 1164004347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA JOHN Owner 585-802-7527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2021-04-27 |
| Last Update Date | 2022-06-26 |