| NPI | 1295720530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FRIEDRICH Administrator 607-734-2984 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: NY 0701203R) |
| Enumeration Date | 2005-09-13 |
| Last Update Date | 2014-09-10 |