| NPI | 1609949049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A DRACKER Medical Doctor Owner 315-457-9966 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 1551771) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2018-12-03 |