| NPI | 1639123862 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD FRANK Md 716-664-5414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 191390) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2007-12-17 |