| NPI | 1396823399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE JETTE Administrator 716-887-4479 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-11-17 |