| NPI | 1619454709 |
|---|---|
| Doing Business As | UA-SUNY SPORTS MEDICINE |
| Entity Type | Organization |
| Authorized Contact | GERARD KOLOSKIE Authorized Official 518-591-8566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2022-04-05 |