| NPI | 1457361529 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN M ROMAN Interventional Radiology 315-329-7555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 302135) |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2011-10-03 |