| NPI | 1235496100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY FUSCHINO Owner 518-273-3732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 134450-1) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 203943-1) |
| Enumeration Date | 2012-04-17 |
| Last Update Date | 2012-04-17 |