| NPI | 1487877817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALKA DARIA STACHIW Owner 716-675-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NY 156731) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2019-09-18 |