| NPI | 1740388719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH HOERNER Practice Administrator 716-204-9710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2008-03-13 |