| NPI | 1396882684 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN K CALLNER Deputy Commissioner 518-386-2810 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0905X Clinic/Center, Public Health, State or Local (Licence: NY 4601207R) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2020-08-22 |