| NPI | 1336156223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY M NEILLEY First Vice President 518-783-5563 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |