| NPI | 1609263185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSALBA MUCCIARELLA Partner 716-635-0688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY F307188) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |