| NPI | 1932614658 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE ROK Office Manager 716-650-4622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 183430) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2026-01-15 |