| NPI | 1659068690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BRONSON Residency/Fellowship Programmanager 607-798-5726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2023-04-19 |
| Last Update Date | 2023-05-22 |