| NPI | 1164548970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGIE LAW Billing Manager 716-625-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 217931) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-06-19 |