| NPI | 1154763522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON D. LORENC Owner/Physician 315-782-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: NY 227469) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2013-07-25 |