| NPI | 1023376282 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW E.C. CROSSLEY Owner 315-788-3240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 047466-1) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY D23947) |
| Enumeration Date | 2012-04-25 |
| Last Update Date | 2012-04-25 |