| NPI | 1639132475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJINDER JAIN Owner 518-273-3755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NY 127826) |
| Enumeration Date | 2006-04-11 |
| Last Update Date | 2015-03-11 |