| NPI | 1427489459 |
|---|---|
| Doing Business As | SUBURBAN BEHAVIORAL HEALTH |
| Doing Business As | SUBURBAN RHEUMATOLOGY |
| Entity Type | Organization |
| Authorized Contact | JEFFREY GANSWORTH Practice Manager 716-930-5069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NY 259583-1) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NY 245858-1) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2023-07-20 |