| NPI | 1063772838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY COLLINS Director, Primary Care 518-841-7407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 113796) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |