| NPI | 1306333737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEFANIA FYNN-AIKINS Owner 716-908-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401043) |
| Enumeration Date | 2018-04-20 |
| Last Update Date | 2018-04-20 |