| NPI | 1982792859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN MORRIS Billing Manager 716-859-3392 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2006-10-10 |
| Last Update Date | 2014-07-25 |