| NPI | 1023567625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY JO GARDNER Interim Director/Provider 607-431-4120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NY F336903) |
| Enumeration Date | 2016-09-25 |
| Last Update Date | 2016-09-25 |