| 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 |