| NPI | 1326041286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE DITOMA Practice Manager 315-671-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 174400000X Specialist (Licence: NY 0960021) |
| Enumeration Date | 2005-05-24 |
| Last Update Date | 2022-09-23 |