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 |