| NPI | 1114970118 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL MARC WOLKOWICZ Physician Administrator 518-563-2404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-09-20 |