| NPI | 1578636379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY M STACKMAN Senior Partner 607-273-6757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 132611) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2010-10-12 |