NPI | 1639184336 |
---|---|
Entity Type | Organization |
Authorized Contact | VINCENT MARK YAVOREK President 585-202-5353 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 195888) |
Enumeration Date | 2006-07-30 |
Last Update Date | 2023-07-18 |