| NPI | 1114274826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI SANTOS CFO 518-525-5537 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 0101003H) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 0101003H) |
| 207R00000X Internal Medicine (Licence: NY 0101003H) | |
| 363L00000X Nurse Practitioner (Licence: NY 0101003H) | |
| 363A00000X Physician Assistant (Licence: NY 0101003H) | |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2020-04-03 |