| NPI | 1275315319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHLEEN KROM Compliance & Hipaa Privacy Officer 518-453-6650 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251V00000X Voluntary or Charitable |
| Enumeration Date | 2023-10-13 |
| Last Update Date | 2024-01-09 |