| NPI | 1245936129 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW MARC TETRO Owner 716-854-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery Hand Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2023-02-02 |
| Last Update Date | 2023-02-02 |