| NPI | 1417441262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY ANN VEROSTKO-SLAZAK Anp 716-458-0752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302553) |
| Enumeration Date | 2018-06-15 |
| Last Update Date | 2018-06-15 |