NPI | 1356886683 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH FRANCIS HALUSKA Medical Director 607-767-6893 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 222016) |
Enumeration Date | 2016-12-22 |
Last Update Date | 2024-11-06 |