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 |