| NPI | 1396198651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MAYO Cmo 585-922-0467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2016-07-21 |