| NPI | 1508809872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KNEBEL Billing Manager 585-275-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0008X Pediatrics, Neurodevelopmental Disabilities |
| Additional Taxonomies | 208800000X Urology |
| 207X00000X Orthopaedic Surgery | |
| 207T00000X Neurological Surgery | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2020-08-22 |