| NPI | 1598158164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE STRADE Director Of Operations 716-372-0141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2015-03-06 |
| Last Update Date | 2015-03-06 |