| NPI | 1164409991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D CALABRESE President 716-883-0515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2021-01-18 |