| NPI | 1568108983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY ANN WALTERS Owner 585-754-5949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2022-05-09 |
| Last Update Date | 2022-05-09 |