| NPI | 1710063003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE M TARIOT President 585-241-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 165704) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 165704) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 400791) | |
| Enumeration Date | 2006-10-28 |
| Last Update Date | 2007-12-22 |