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 |