| NPI | 1174095640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA M. GRAHAM Billing Manger 585-423-2821 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |