| NPI | 1386492262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN NOVELLI Managing Member, CEO 716-573-6666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Additional Taxonomies | 225100000X Physical Therapist |
| 363LA2200X Nurse Practitioner, Adult Health | |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-05-07 |