| NPI | 1215975289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD F DIVENCENZO Physician , Owner 716-689-4800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 188929-1) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2007-11-05 |