| NPI | 1558755637 |
|---|---|
| Doing Business As | CENTER FOR PREVENTATIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | DEBBY COONS Credentialing Manager 518-213-0478 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2015-03-26 |
| Last Update Date | 2018-05-22 |