NPI | 1982875365 |
---|---|
Entity Type | Organization |
Authorized Contact | ELLEN M BATTISTA Ower 716-833-8184 |
Organization Subpart ? | No |
Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: NY 199397) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 301682) |
Enumeration Date | 2008-03-13 |
Last Update Date | 2022-05-05 |