| NPI | 1366005399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY MARIE SCIOLINO Manager Payer Relations 716-699-9032 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Enumeration Date | 2019-04-16 |
| Last Update Date | 2019-04-16 |