NPI | 1609541051 |
---|---|
Entity Type | Organization |
Authorized Contact | KELSEY JUNTUNEN Office Manager 518-578-4749 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
363LA2200X Nurse Practitioner, Adult Health | |
Enumeration Date | 2021-08-09 |
Last Update Date | 2021-08-09 |