| NPI | 1558353953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY VANDERZEE Busines Office Supervisor 518-792-1233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2005-08-22 |
| Last Update Date | 2008-03-19 |