| NPI | 1518002492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE A WHITTAKER Office Manager 315-732-8880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NY 224250) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2012-03-21 |