| NPI | 1972635613 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH CARLASCIO Vice President Regional Operations 585-336-4841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 261QP2000X Clinic/Center Physical Therapy | |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |