NPI | 1063704211 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA SAUNDERS Physician 518-785-3154 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice (Licence: NY 193468) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 193468) |
Enumeration Date | 2011-05-06 |
Last Update Date | 2014-09-25 |