| NPI | 1316153067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES E. ILOZUE Medical Doctor 716-200-4122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 243530) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2009-12-17 |