| NPI | 1346564739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSLYN L PERRY Sole Proprieter 716-882-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 210359) |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-04-29 |