| NPI | 1013483320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIL BHAT President 315-765-1515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2021-01-20 |