| NPI | 1033107743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY GALVIN Director Of Reimbursement & Patient 315-470-2941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 3301008H) |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2025-01-23 |