| NPI | 1538986807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN L ZYLINSKI Sole Owner 315-507-4751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| 207Q00000X Family Medicine | |
| Enumeration Date | 2024-09-26 |
| Last Update Date | 2024-09-26 |