NPI | 1013292002 |
---|---|
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 | 103T00000X Psychologist |
207PS0010X Emergency Medicine, Sports Medicine | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
207RN0300X Internal Medicine, Nephrology | |
207RR0500X Internal Medicine, Rheumatology | |
207V00000X Obstetrics & Gynecology | |
2084N0400X Psychiatry & Neurology, Neurology | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2086S0129X Surgery, Vascular Surgery | |
213E00000X Podiatrist | |
261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: NY 5660200R) | |
363A00000X Physician Assistant | |
Enumeration Date | 2011-10-21 |
Last Update Date | 2024-02-23 |