| NPI | 1649264706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNETTE SANTIAGO-RIVERA Director 315-413-5270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NY 38775) |
| Enumeration Date | 2005-09-06 |
| Last Update Date | 2022-03-03 |