| NPI | 1457437063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARRY O MAISEL Owner 518-583-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: NY 149025) |
| Enumeration Date | 2006-10-27 |
| Last Update Date | 2010-06-10 |