| NPI | 1396011656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNA BOKA Owner 518-438-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2012-03-30 |
| Last Update Date | 2012-03-30 |