| NPI | 1447476254 |
|---|---|
| Doing Business As | NONE |
| Entity Type | Organization |
| Authorized Contact | ALFRED AUGUSTINE SANTOS Minimally Invasive Surgeon 315-342-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 234085) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |