| NPI | 1639559305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SETH KRONENBERG Authorized Official 315-470-7409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |