| NPI | 1447212139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA J JORDAN Certified Medical Office Manager 716-652-0237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2010-07-20 |