| NPI | 1710480173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARRET LAW Billing & Credentialling Clerk 716-656-0078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2018-05-15 |