| NPI | 1124012737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE SMITH Business Services Coordinator 315-445-8166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2024-12-20 |