| NPI | 1225122054 |
|---|---|
| Other Name | KOINONIA PRIMARY CARE AND PSYCHIATRIC SERVICES |
| Entity Type | Organization |
| Authorized Contact | ROBERT JOHN PAEGLOW Director 518-689-0282 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: NY 60/201542) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2011-11-03 |