| NPI | 1023433778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMEY LEE DROLLETTE Office Manager/Delegated Official 518-310-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NY 147599) |
| Enumeration Date | 2014-03-04 |
| Last Update Date | 2014-09-25 |