| NPI | 1699877076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA MICHAEL USEN Owner 716-861-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 211359) |
| Enumeration Date | 2006-09-05 |
| Last Update Date | 2020-08-22 |