| 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 | 2017-02-20 |