| NPI | 1730531054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAITLIN GARTLER Office Manager 716-799-5351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: NY 2250481) |
| Enumeration Date | 2016-07-11 |
| Last Update Date | 2016-07-11 |