| NPI | 1538038799 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE SEGUIN Associate Director Of Revenue Cycle 315-250-9822 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Enumeration Date | 2025-11-04 |
| Last Update Date | 2025-11-04 |