| NPI | 1285813840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY BOQUARD GENICK Owner 716-668-1902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 206982) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |