| NPI | 1114543287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ROBERT WALDORF Owner / Physician 518-526-9996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 208M00000X Hospitalist | |
| Enumeration Date | 2020-06-24 |
| Last Update Date | 2020-06-24 |