| NPI | 1912160029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH DONALD GENTILE President 716-832-9747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 109612) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2008-07-09 |