| NPI | 1598021230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACEY SMITH Staff Accountant 607-431-5305 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F335928) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |