| NPI | 1205644531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY FRANK DANIEL Chief Executive Officer 716-580-7208 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207QB0002X Family Medicine, Bariatric Medicine |
| Enumeration Date | 2024-12-19 |
| Last Update Date | 2024-12-19 |