| NPI | 1437390218 |
|---|---|
| Doing Business As | ST ALPHONSUS FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MARIA A. CUDA Owner 315-764-1444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2009-03-09 |
| Last Update Date | 2010-12-21 |