| NPI | 1508241399 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN ASHE Executive Director 716-913-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 213E00000X Podiatrist | |
| 225100000X Physical Therapist | |
| 225X00000X Occupational Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2015-07-22 |
| Last Update Date | 2016-02-16 |