| NPI | 1063770089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI SANTOS CFO 518-525-5537 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 4102003H) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2017-11-01 |