| NPI | 1609276211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KIM Owner 518-871-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RS0010X Internal Medicine, Sports Medicine (Licence: NY 257436) |
| Enumeration Date | 2014-09-02 |
| Last Update Date | 2014-09-02 |