| NPI | 1215108287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE BERNARD HUGHES Sole Proprietor 518-370-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 186174NN) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: NY 186174) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2019-07-19 |