| NPI | 1265462493 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN L. BAEHR Practice Manager 716-839-0522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2011-12-19 |