| NPI | 1154516854 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH W. WHARTON Owner 518-587-7560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 162049) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2008-01-09 |