| NPI | 1265098941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER JO SAHRLE Sr. Director, Operations 585-210-4209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-05-17 |
| Last Update Date | 2019-05-17 |