| NPI | 1407038938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN ANNE VON DOLLEN Nurse Practitioner In Psychiatry 518-453-2280 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X (Licence: NY F400457-1) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2008-07-01 |