| NPI | 1770732984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH L PARTRIDGE Vice President Administration 585-451-8011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: NY 114313) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine (Licence: NY 099098) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 222626) | |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2008-11-17 |