| NPI | 1417902065 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY ANGELO RACANIELLO President 716-947-2097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 188585) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NY 188585) |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: NY 188585) | |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2012-10-16 |