| NPI | 1467726588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JITENDRA SINGH Owner 518-761-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 245038) |
| Enumeration Date | 2012-03-07 |
| Last Update Date | 2012-03-07 |