| NPI | 1851922751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD DENEEN President 585-749-8372 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist Clinical | |
| 202C00000X Independent Medical Examiner | |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |