| NPI | 1285759498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET LAW Billing Manager 716-656-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 117348) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 223801) |
| Enumeration Date | 2007-03-20 |
| Last Update Date | 2008-05-09 |