| NPI | 1659646982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN Y TSOU Owner 518-828-0947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 129662) |
| Enumeration Date | 2012-03-20 |
| Last Update Date | 2012-03-20 |