| NPI | 1225217763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A EDMONSON Md/Owner 518-641-6936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086X0206X Surgery, Surgical Oncology (Licence: NY 236674-1) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2007-11-02 |