| NPI | 1295026375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRENE A BURNS Sole Proprietor 585-344-2504 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 149987) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 256183) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |