| NPI | 1598976052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER BECKER CEO Administrator 315-493-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NY 2238001H) |
| Additional Taxonomies | 124Q00000X Dental Hygienist |
| 261QD0000X Clinic/Center, Dental | |
| 261QH0700X Clinic/Center, Hearing and Speech (Licence: NY 2238001H) | |
| 261QP2300X Clinic/Center, Primary Care (Licence: NY 2238001H) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-09-30 |