NPI | 1194448498 |
---|---|
Entity Type | Organization |
Authorized Contact | ZACARIA OLIVERO CEO 716-400-9169 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
261QM1300X Clinic/Center, Multi-Specialty | |
Enumeration Date | 2022-09-21 |
Last Update Date | 2022-09-21 |