| NPI | 1851686679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THAYAPARAN MATHANAKARAN Partner/Physician 716-908-9397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 251105) |
| Enumeration Date | 2011-06-09 |
| Last Update Date | 2017-01-22 |