| NPI | 1265709240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KYOUNG S BOLTUC Occupational Health Nurse 315-732-7396 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: CA 403434) |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2011-11-19 |