| NPI | 1265466494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE L COPPENS Owner, Physician 716-632-4045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 158086-1) |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2010-07-28 |