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 |