| NPI | 1154406221 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUY KUPERMAN Executive Director 518-462-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 070611525) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2008-11-18 |