| NPI | 1477190809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCES LYN SOURWINE Director Of Finance 315-788-7323 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0002X Internal Medicine, Hospice and Palliative Medicine |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |