| NPI | 1770886467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IQBAL A SAMAD Physician 716-835-9866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 105005) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |