| NPI | 1245913920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT EDWARD PASCUCCI Therapist 716-507-8200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |