| NPI | 1447445291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT LEONARD ROTH Owner 585-426-4160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 150586) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-13 |