| NPI | 1477586576 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD J. EVERHART Administrator 716-896-3815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NY 1455201R) |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2016-11-30 |