| NPI | 1205192598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLIE MYERS Practice Administrator 518-831-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NY 154613) |
| Enumeration Date | 2012-04-11 |
| Last Update Date | 2012-04-11 |