| NPI | 1356409676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA LEVITA CLARK President 585-227-0072 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083X0100X Preventive Medicine Occupational Medicine (Licence: NY 194302) |
| Additional Taxonomies | 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NY 194302) |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine (Licence: NC 200001097) | |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: NC 200001097) | |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2008-06-06 |