| NPI | 1467659060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO R DEROSALIA CEO 315-458-3343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 2085R0001X Radiology Radiation Oncology |
| Enumeration Date | 2007-06-28 |
| Last Update Date | 2020-07-15 |