| NPI | 1437636834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACOB HALPERT Manager 607-738-6356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RG0300X Internal Medicine, Geriatric Medicine | |
| 208D00000X General Practice | |
| Enumeration Date | 2018-07-27 |
| Last Update Date | 2018-07-27 |