| NPI | 1487829784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE A MATINA Medical Biller 585-342-4212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 128195) |
| Enumeration Date | 2008-04-28 |
| Last Update Date | 2008-07-16 |