NPI | 1518261163 |
---|---|
Entity Type | Organization |
Authorized Contact | RONALD L STRAM President 518-689-2244 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2010-12-22 |
Last Update Date | 2010-12-22 |