| NPI | 1346364288 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER ANNE PIATT Office Manager 716-375-5273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 005651) |
| Enumeration Date | 2007-03-18 |
| Last Update Date | 2020-08-22 |