| NPI | 1518107069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK OLDENDORF Md/Owner 518-435-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2009-02-24 |
| Last Update Date | 2019-08-08 |