| NPI | 1548357866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA ELAINE HAUSER President 518-458-7212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 197219) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: NY 197219) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2013-01-15 |