| NPI | 1598082463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN J. MELBER Medical Practice Manager 716-838-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 187404) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-06-22 |