| NPI | 1609905207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI LYNN WENZEL Business Office 585-872-8442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208000000X Pediatrics | |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2010-02-17 |