| NPI | 1346801206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKKI LEA HUGHES Assistant Office Manager 607-306-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2019-08-14 |