| NPI | 1487906707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON JOAN RITMO Lpn 518-437-5820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: NY 142943-1) |
| Enumeration Date | 2012-10-10 |
| Last Update Date | 2012-10-10 |