| NPI | 1366799033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C. IANNUZZI Md 315-464-3835 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 111362) |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2015-03-02 |