| NPI | 1750531620 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL JONES Administrator 716-652-8606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 219856) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 219856) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2013-01-16 |