| NPI | 1609813583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES P BURDICK Physician 716-650-9760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2006-06-01 |
| Last Update Date | 2020-03-26 |