| NPI | 1851049134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE SWIFT Billing Project Manager 716-247-5282 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |