NPI | 1205947678 |
---|---|
Entity Type | Organization |
Authorized Contact | CHARLENE V CONNERS Owner 585-424-3410 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 186511-1) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2008-04-22 |