| NPI | 1467713149 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JOHN DAVIN Owner 315-475-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NY 138897) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NY 138897) |
| Enumeration Date | 2012-05-30 |
| Last Update Date | 2012-06-29 |