NPI | 1538190475 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANTINO FERNANDEZ Physician 585-275-0638 |
Organization Subpart ? | No |
Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
Additional Taxonomies | 363A00000X Physician Assistant |
363LW0102X Nurse Practitioner, Women's Health | |
Enumeration Date | 2006-07-06 |
Last Update Date | 2020-08-22 |