| NPI | 1659538767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVENDER KUMAR THAKUR Director 585-442-6960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 192844) |
| Enumeration Date | 2008-05-18 |
| Last Update Date | 2008-05-18 |