NPI | 1588215032 |
---|---|
Other Name | STONE RIDGE FAMILY MEDICINE AND WALK IN CLINIC |
Doing Business As | STONE RIDGE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | PRADNYA SHIRSOLKAR Owner/Physician 315-601-0174 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-09-26 |
Last Update Date | 2019-09-26 |