| NPI | 1467624114 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOOSAIPILLAI G JEYAPALAN Owner Physician 716-823-3448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 128590) |
| Enumeration Date | 2008-04-01 |
| Last Update Date | 2008-04-01 |