| NPI | 1649248428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARTIN Office Manager 518-435-0842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 200366) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2020-08-22 |