| NPI | 1528844198 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH RAMIREZ Office Manager 518-310-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |