| NPI | 1548414287 |
|---|---|
| Doing Business As | MOHAWK VALLEY PRACTITIONERS |
| Entity Type | Organization |
| Authorized Contact | LAURA LYNNE LUKE Office Manager 315-733-7913 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NY 1758471) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |