NPI | 1396842506 |
---|---|
Entity Type | Organization |
Authorized Contact | JEFFREY M KING President/Phycician 607-770-9050 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 193960-1) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2014-02-28 |