| NPI | 1477446458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTIN GALLAGHER Nurse Practitioner, CEO 315-542-6754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-07-16 |