| NPI | 1154448884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GERARD NELSON Physician 315-735-2294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 145648) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2012-11-21 |