| NPI | 1629104088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J BUCKLEY President 716-837-9111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 125872 MD) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: NY 0106801) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2020-08-22 |