| NPI | 1457478778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL JEREMEY KILMER Director Of Administrative Services 607-758-6100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2020-08-22 |