| NPI | 1013118603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH A SETLA Member And Owner 315-634-2214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
| Additional Taxonomies | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |