| NPI | 1063445971 |
|---|---|
| Other Name | UPSTATE OCCUPATIONAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | IRA GORDON EARLY President 864-591-0992 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2020-08-22 |