| NPI | 1356762660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLAN LAM HO Medical Director 518-867-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: FL acn488) |
| Enumeration Date | 2014-01-04 |
| Last Update Date | 2014-01-04 |