| NPI | 1306397534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIA MARI WILLIAMS Physican Assistant 716-250-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 020269) |
| Enumeration Date | 2016-10-24 |
| Last Update Date | 2016-10-24 |