| NPI | 1861672115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E TKACIK President/CEO 716-307-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 004883-1) |
| Enumeration Date | 2007-11-04 |
| Last Update Date | 2007-11-04 |