NPI | 1588832984 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREW OPHARDT Business Manager 585-755-7878 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 195745) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2008-02-19 |