| NPI | 1326817693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY WALTERS CFO 716-363-6050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology Gynecology |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207VX0000X Obstetrics & Gynecology Obstetrics | |
| 261Q00000X Clinic/Center | |
| 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) | |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2025-07-12 |