| NPI | 1356945778 |
|---|---|
| Other Name | COLUMBIA MEMORIAL PEDIATRICS |
| Entity Type | Organization |
| Authorized Contact | BRYAN T MAHONEY Chief Financial Officer 518-828-8090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2020-11-25 |
| Last Update Date | 2020-11-25 |