| NPI | 1225157407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACHANDA MILLS Billing Administrator 585-455-3537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MD D18094) |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2026-08-18 |