| NPI | 1639538150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN RYAN Director/Practitioner 716-704-5682 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F300457-1) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |