| NPI | 1124542741 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAMILLO FRANKLYN Sole Owner 518-428-8774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: FL ME124905) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: CO DR0050287) |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |