| NPI | 1720378722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE J MEYERS Physician 716-831-0102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 167452-1) |
| Enumeration Date | 2011-04-11 |
| Last Update Date | 2011-04-11 |