NPI | 1235359233 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL WHALEN Director Of Administration 518-435-2704 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 2085N0700X Radiology, Neuroradiology (Licence: NY 54964) |
2085N0904X Radiology, Nuclear Radiology (Licence: NY 54964) | |
2085R0202X Radiology, Diagnostic Radiology (Licence: NY 54964) | |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: NY 54964) | |
363AM0700X Physician Assistant, Medical (Licence: NY 54964) | |
363L00000X Nurse Practitioner (Licence: NY 54964) | |
Enumeration Date | 2007-05-01 |
Last Update Date | 2012-03-28 |