| NPI | 1427670751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB HALPERT Secretary 607-738-6356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2020-05-08 |
| Last Update Date | 2020-07-10 |