| NPI | 1932392412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW CAPPUCCINO Owner 716-438-2973 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: NY 196141-1) |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2018-10-17 |