| NPI | 1760211767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A MERLIN Member Manager 716-253-1488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2025-11-12 |