NPI | 1659338382 |
---|---|
Entity Type | Organization |
Authorized Contact | ALBERT DIAZ-ORDAZ Medical Director/Owner 716-712-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 1435203R) |
Enumeration Date | 2006-04-27 |
Last Update Date | 2016-10-26 |