| NPI | 1679223366 |
|---|---|
| Doing Business As | OLEAN MEDICAL GROUP |
| Entity Type | Organization |
| Authorized Contact | TABITHA ABRAHAM Director 716-533-4728 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2022-03-25 |
| Last Update Date | 2026-06-05 |