| NPI | 1235549569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT N. COONEY Md/Chairman 315-464-5549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: NY 048166) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 048833) |
| Enumeration Date | 2014-05-08 |
| Last Update Date | 2014-05-08 |