| NPI | 1942727011 |
|---|---|
| Doing Business As | WNY GENESEE VALLEY DERMATOLOGY LASER & SPA |
| Entity Type | Organization |
| Authorized Contact | PAULA TINCH SVP 585-922-1223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2022-07-21 |