| NPI | 1548354335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAHIR M QAZI President 716-692-4020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: NY 236351) |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine (Licence: NY 236351-1) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2012-01-31 |