| NPI | 1205076122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA LUDWIG Credentialing Coordinator 585-381-4982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381534-1) |
| Enumeration Date | 2009-03-05 |
| Last Update Date | 2009-03-05 |