| NPI | 1316379316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BROWN Fnp 315-312-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NY F338011-1) |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2013-08-01 |