| NPI | 1578993077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS H POTTER Owner 585-467-7020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NY 003692-1) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2013-11-19 |