| NPI | 1194132415 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES COLLINS Md 716-218-7169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: NY 134888) |
| Enumeration Date | 2014-07-18 |
| Last Update Date | 2014-07-18 |