| NPI | 1568609568 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW D HOLT Sole Proprietor 585-266-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2009-01-13 |
| Last Update Date | 2009-01-13 |