| NPI | 1285669317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERRE THOMAS MARTIN Owner Physician 607-756-8075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2025-09-11 |