| NPI | 1336389212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH VINCENT MURE Sole Member 716-946-1748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 246125) |
| Enumeration Date | 2009-03-04 |
| Last Update Date | 2013-03-17 |