| NPI | 1477221950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN DIMARZO President & CEO 518-516-1080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2022-12-29 |