| NPI | 1295010239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEMARIE MCGIVERON Vice President 716-648-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: NY F381390-1) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-10-20 |