| NPI | 1295175867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARUN PATIL Medical Director 315-738-4440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services (Licence: NY 140953) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2013-06-27 |