| NPI | 1730365073 |
|---|---|
| Former Legal Business Name | NITA K. DIVAN, M.D., P.C. |
| Entity Type | Organization |
| Authorized Contact | NITA K DIVAN Owner 716-688-7344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2009-12-19 |