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 |