| NPI | 1619124724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER AUGUST MINAERT President/Physician 315-782-1990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: NY 122792) |
| Enumeration Date | 2008-08-20 |
| Last Update Date | 2009-03-12 |