NPI | 1750913240 |
---|---|
Entity Type | Organization |
Authorized Contact | KALPANA D. PATEL Chief Medical Director 716-833-2213 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Enumeration Date | 2020-02-12 |
Last Update Date | 2020-02-12 |