| NPI | 1417924762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID SHIPPEE President & CEO 518-591-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health (Licence: NY 0101205R) |
| Enumeration Date | 2006-03-07 |
| Last Update Date | 2016-11-07 |