| NPI | 1174905038 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | MARIA HELIOTI Clinical Physician 585-469-9067  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: AZ AZ15-1492)  | 
| Enumeration Date | 2015-06-26 | 
| Last Update Date | 2015-06-26 |