| NPI | 1164777819 |
|---|---|
| Other Name | COLUMBIA MEMORIAL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | VINCENT J DINGMAN Chief Financial Officer 518-828-8249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 1001000H) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2012-07-18 |