| NPI | 1780852780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIRIAM SHAPIRO Practice Administator 716-250-7420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 171388) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2018-04-12 |