| NPI | 1003691064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA PASCO Executive VP, CFO 518-761-0300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2024-02-23 |