| NPI | 1619731494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY N MORTON Practice Manager 716-631-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology Allergy |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 2080P0201X Pediatrics Pediatric Allergy/Immunology | |
| Enumeration Date | 2024-02-12 |
| Last Update Date | 2024-02-12 |