| NPI | 1396079737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS COSSIO Medical Director/Physician 716-613-0313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: GA 036127) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: GA 036127) |
| 207RN0300X Internal Medicine, Nephrology (Licence: GA 036127) | |
| Enumeration Date | 2009-10-01 |
| Last Update Date | 2009-10-01 |