| NPI | 1063450484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA GIFFORD Billing Manager 315-732-9368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2022-02-01 |