| NPI | 1629718804 |
|---|---|
| Other Name | CENTIVO VIRTUAL PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | ASHLEE MEGHAN DAVIDSON Practice Manager 716-939-5564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2022-12-01 |