| NPI | 1316049240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURIE J. DONOHUE Medical Director 585-436-3040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) (Licence: NY 2701220R) |
| Enumeration Date | 2006-09-01 |
| Last Update Date | 2011-01-31 |