| NPI | 1194169029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA PAGE Nurse Practitioner In Psychiatry 585-409-1589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401204) |
| Enumeration Date | 2013-04-22 |
| Last Update Date | 2013-04-22 |