| NPI | 1346797354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE MARGARET DELMONTE Office Manager 716-671-2130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 1363121) |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2016-09-07 |