| NPI | 1023147683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER D GREEN Md Owner 518-464-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080S0012X Pediatrics, Sleep Medicine (Licence: NY 179477) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |