| NPI | 1801104583 |
|---|---|
| Other Name | JAMESTOWN CONVENIENCE CARE |
| Entity Type | Organization |
| Authorized Contact | ROBERT BERKE Managing Partner 716-753-5315 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-09-16 |
| Last Update Date | 2012-02-29 |