| NPI | 1801146634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE LYNN BRADLEY Human Resourses 716-856-2702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 164w00000x) |
| Enumeration Date | 2012-09-19 |
| Last Update Date | 2012-09-19 |