| NPI | 1093956682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM A GRABER Owner 315-624-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2009-03-12 |
| Last Update Date | 2020-04-29 |