| NPI | 1558147447 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON MARION ELSHEIKH Owner 518-944-4718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Additional Taxonomies | 261QH0100X Clinic/Center, Health Services |
| 261QP2300X Clinic/Center, Primary Care | |
| Enumeration Date | 2023-09-06 |
| Last Update Date | 2025-09-30 |