| NPI | 1508929852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CESANA Executive Director 716-661-1412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center Student Health (Licence: NY 06022001R) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |