| NPI | 1306205034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA M. SULIK President 315-744-1865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| Enumeration Date | 2016-02-23 |
| Last Update Date | 2016-02-23 |