| NPI | 1679887939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK W KROUGH President 585-343-1113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: NY 051427) |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |