| NPI | 1043954621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK ROBERT COONEY Cmo / Vice President / Partner 315-560-5982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine |
| Additional Taxonomies | 207PE0004X Emergency Medicine Emergency Medical Services |
| 207PE0005X Emergency Medicine Undersea and Hyperbaric Medicine | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-04-21 |