NPI | 1316260045 |
---|---|
Entity Type | Organization |
Authorized Contact | SAE JOUN PARK President 607-762-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NY 110896) |
Enumeration Date | 2010-03-09 |
Last Update Date | 2010-03-09 |