| NPI | 1104131366 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUHAS V. PRADHAN Owner 315-475-8409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 133288) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2010-08-12 |