NPI | 1578838462 |
---|---|
Entity Type | Organization |
Authorized Contact | LEE AVRAMIDIS Pediatrician 315-732-1191 |
Organization Subpart ? | No |
Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: NY 149472) |
Enumeration Date | 2012-03-12 |
Last Update Date | 2012-03-12 |