NPI | 1326233701 |
---|---|
Entity Type | Organization |
Authorized Contact | ALVARO A OLAYO Medical Director 607-331-4511 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 240621) |
Enumeration Date | 2007-09-10 |
Last Update Date | 2022-11-04 |