| NPI | 1730023292 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADELE KIBASUMBA Nurse Practictioner 585-210-3483 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2026-04-15 |
| Last Update Date | 2026-04-15 |