| NPI | 1013054550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY BARTOS Chief Executive Officer 518-370-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 4620200R) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2007-10-12 |