| NPI | 1336487396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK MICHAEL ELLIOTT Physician And Owner 716-768-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 236287) |
| Enumeration Date | 2013-01-26 |
| Last Update Date | 2013-01-26 |