| NPI | 1285003459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES W BURNS Primary Provider 716-266-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 332858) |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2015-12-22 |