NPI | 1578149076 |
---|---|
Entity Type | Organization |
Authorized Contact | VICKRAMJIT GILL CEO 518-369-9534 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2021-03-23 |
Last Update Date | 2021-09-16 |