| NPI | 1073587416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN M KENDRICK Administrator 315-234-6687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0800X Clinic/Center, Endoscopy (Licence: NY 3301219) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2025-01-08 |