NPI 1427382738
The M.O.G.
Practice location
- Address
- 1801 Grand Island Blvd, Grand Island, NY 14072-2171
- Phone
- (716) 773-1600
- Fax
- (716) 773-9418
Authorised official
- Name
- Russ Certo
- Title
- Owner
- Phone
- (716) 773-1600
Registered specialties
Homeopath
Primary
Registry record
- NPI
- 1427382738
- Entity type
- Organization
- NPI issued
- 21 Sep 2009
- Record last updated
- 21 Sep 2009
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.