| NPI | 1194782938 |
|---|---|
| Former Legal Business Name | UPSTATE VASCULAR STUDY LAB |
| Entity Type | Organization |
| Authorized Contact | TIFFANY A. BURGEN Office Manager 585-720-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory (Licence: NY 124377) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2012-02-06 |