| NPI | 1790058162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA DEVORE Doctor 585-349-5352 |
| Organization Subpart ? | No |
| Primary Taxonomy | 164W00000X Licensed Practical Nurse (Licence: NY 231927-1) |
| Enumeration Date | 2012-02-16 |
| Last Update Date | 2012-02-16 |