| NPI | 1700050804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E TKACIK CEO 716-379-8113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 161469) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: NY 004883-1) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |