| NPI | 1760866156 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN BOTSOGLOU Office Manager 716-896-5922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RR0500X Internal Medicine, Rheumatology |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2015-07-15 |