| NPI | 1386748416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDUR R JALALZAI Owner President Secretary 315-535-9229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 126123) |
| Enumeration Date | 2006-09-11 |
| Last Update Date | 2020-08-22 |