| NPI | 1376637256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRWAN A MIRZA Owner 315-282-0071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism (Licence: NY 221927) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2008-09-09 |