| NPI | 1649202763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A GEMEREK Owner 716-655-8776 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: NY 1202L001) |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |