NPI | 1699282665 |
---|---|
Entity Type | Organization |
Authorized Contact | TENNISHA EDWARDS Nurse Practitioner 585-752-9696 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: GA RN261933) |
Enumeration Date | 2017-12-29 |
Last Update Date | 2021-02-05 |