| NPI | 1346749793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN T MAHONEY Chief Financial Officer 518-828-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 1001000h) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2018-06-16 |