| NPI | 1528314192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M GRIFFING Owner 315-525-0094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 332020) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-08-01 |