| NPI | 1184835647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER BECKER CEO 315-493-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD0000X Clinic/Center, Dental (Licence: NY 2238001H) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 2238001H) |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2007-07-17 |