| NPI | 1952597064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSIA LYNN MCGILL Secretary 585-343-7870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 118719) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2008-04-20 |