NPI | 1396714945 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY M OONK Hr Manager 315-479-5070 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery |
363AM0700X Physician Assistant Medical | |
363LP2300X Nurse Practitioner Primary Care | |
Enumeration Date | 2006-03-16 |
Last Update Date | 2010-05-13 |