| NPI | 1558796243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENANTE IGNACIO Owner/Physician 315-216-4641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NY 246837) |
| Enumeration Date | 2013-09-12 |
| Last Update Date | 2015-03-02 |