| NPI | 1528149978 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA H GEERHART Office Manager 716-565-0352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 201216) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |