| NPI | 1598086902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LIONEL ANTHONY SIFONTES President 716-837-2772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 103484) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |