| 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 |