NPI | 1639172828 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY J. SCOTT Administrative Director 585-256-1330 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 2701227R) |
Enumeration Date | 2005-05-23 |
Last Update Date | 2012-06-08 |