| NPI | 1689946550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFERY TODD FACER President/CEO 716-491-1913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 2321991) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2012-02-07 |