| NPI | 1023280633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATIF A SHAIKH President 607-936-4679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 130124) |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-08-26 |