| NPI | 1275070930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE MACKE Chief Financial Officer 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 133N00000X Nutritionist | |
| 133V00000X Dietitian, Registered | |
| 204R00000X Electrodiagnostic Medicine | |
| 207K00000X Allergy & Immunology | |
| 207R00000X Internal Medicine | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 208600000X Surgery | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2017-03-29 |