| NPI | 1154589083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA PASCO Executive VP, CFO 518-761-0300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2024-02-23 |