| NPI | 1386711505 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD MASSEY CEO 518-841-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 2801000H) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NY 2801000H) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2020-08-22 |