| NPI | 1992161582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MARGARET O'NEIL Owner 716-898-0755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: NY A188049-1) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2016-02-17 |