| NPI | 1629673108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY ELLIE Member 585-500-4814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LC0200X Anesthesiology, Critical Care Medicine |
| Additional Taxonomies | 207PE0004X Emergency Medicine, Emergency Medical Services |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208600000X Surgery | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2020-12-10 |