| NPI | 1689076986 |
|---|---|
| Doing Business As | CCS PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | WON SAM YI Medical Director 716-810-9631 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2014-10-16 |