| NPI | 1952422792 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELIZABETH ANNE ROEHMHOLDT Owner 716-634-6357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 128036) |
| Enumeration Date | 2007-04-02 |
| Last Update Date | 2008-02-19 |