| NPI | 1962464511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROOPA CHALLAPALLI Physician 585-419-6824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NY 182677) |
| Additional Taxonomies | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: NY 182242-1) |
| Enumeration Date | 2006-04-06 |
| Last Update Date | 2020-08-22 |