| NPI | 1336229509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERTA E GEBHARD Owner Physician 716-649-0887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 176365) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-02-14 |