| NPI | 1477232171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARJORIE M FUTIA CEO 518-258-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2024-01-26 |