| NPI | 1407302367 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GEORGE O'GARA Sole Owner 585-797-5422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PP0204X Emergency Medicine, Pediatric Emergency Medicine |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: NY 209616) |
| 208000000X Pediatrics | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2023-08-28 |