| NPI | 1912462839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY ANN VEROSTKO-SLAZAK Nurse Practitioner 716-277-0267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health |
| Enumeration Date | 2019-02-05 |
| Last Update Date | 2023-03-23 |