| 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 | |
| 2085N0904X | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2012-11-30 |