| NPI | 1104023910 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CHARLES BEACH President 518-563-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center Urgent Care (Licence: NY 228601) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |