| NPI | 1801674106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BISWARUP MANOJKUMAR GHOSH Owner 716-219-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103T00000X Psychologist |
| 1041C0700X Social Worker, Clinical | |
| 363AM0700X Physician Assistant, Medical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2024-11-04 |