| NPI | 1407898745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PATRICK LOONEY Owner 518-439-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 177933-1) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2012-03-07 |