| NPI | 1780976613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHARLES CUMELLA Owner 716-633-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 140792) |
| Enumeration Date | 2011-05-11 |
| Last Update Date | 2011-05-11 |