| NPI | 1386671816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEROY W MCCUNE President 716-651-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-06-28 |
| Last Update Date | 2017-01-26 |