NPI | 1336484492 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL GORDON Director, Fin/Admin Phys Enterprise 518-525-1585 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
Additional Taxonomies | 133V00000X Dietitian, Registered |
207P00000X Emergency Medicine | |
207Q00000X Family Medicine | |
207R00000X Internal Medicine | |
207RC0000X Internal Medicine, Cardiovascular Disease | |
207RC0001X Internal Medicine, Clinical Cardiac Electrophysiology | |
207RP1001X Internal Medicine, Pulmonary Disease | |
207VG0400X Obstetrics & Gynecology, Gynecology | |
208000000X Pediatrics | |
2085N0700X Radiology, Neuroradiology | |
2085N0904X Radiology, Nuclear Radiology | |
2085R0204X Radiology, Vascular & Interventional Radiology | |
Enumeration Date | 2012-11-30 |
Last Update Date | 2012-11-30 |