| NPI | 1366436404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRITI V MANDALAYWALA Owner 315-682-8240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2020-08-22 |