| NPI | 1184971897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH MARIE HOUCK Provider 315-671-5310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NY 186424) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2012-08-13 |