NPI | 1609919455 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL L NOTARO Contract Analyst 315-472-7504 |
Organization Subpart ? | No |
Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
2085R0001X Radiology, Radiation Oncology | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2007-02-14 |
Last Update Date | 2009-10-20 |