| NPI | 1063535102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY WYPYCH Physician Assistant 518-284-8237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 008902) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-03-09 |