| NPI | 1508816695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GRANEY Owner/Partner 315-255-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2014-10-27 |