| NPI | 1881837391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY JAMES LEE Owner 585-447-2775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY X011060) |
| Enumeration Date | 2009-04-14 |
| Last Update Date | 2012-11-08 |