| NPI | 1568525871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE VITELLO Rece PT Ionist 716-285-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NY 157035) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2017-11-03 |