| NPI | 1932883972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RIVERA Psychiatric Nurse Practitioner 716-440-6151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2023-06-12 |
| Last Update Date | 2023-06-12 |