| NPI | 1891098141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JOHN NICHOLSON Sole Proprietor 585-786-7926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 196428) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2010-12-08 |