| NPI | 1366953713 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL VAZQUEZ CEO 716-830-4840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 347C00000X Private Vehicle |
| Additional Taxonomies | 261Q00000X |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |