| NPI | 1447509112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN RAYMOND WANAMAKER Md 315-632-7000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 980213000640) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2012-09-10 |