| NPI | 1497039127 |
|---|---|
| Other Name | NEW HARTFORD DIVISION - 2 ELLINWOOD |
| Entity Type | Organization |
| Authorized Contact | ANGELO R. DEROSALIA Authorized Official 315-458-3343 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208800000X Urology |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2020-07-15 |