NPI | 1427231919 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY JOHANNA FOSTER President 607-734-8039 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 206255) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 331091) |
Enumeration Date | 2007-12-07 |
Last Update Date | 2008-07-01 |