| NPI | 1104035310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SATWINDER DHANJAL Owner 518-357-3262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NV X012086-1) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2012-03-05 |