| NPI | 1114164944 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SEIDMAN Chief Medical Officer 315-394-7542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RN0300X Internal Medicine, Nephrology | |
| 207X00000X Orthopaedic Surgery | |
| 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery | |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208VP0000X Pain Medicine, Pain Medicine | |
| 363AS0400X Physician Assistant, Surgical | |
| Enumeration Date | 2009-01-15 |
| Last Update Date | 2024-11-15 |