| NPI | 1679565410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN F WILLIAMS Owner 518-724-2815 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 208200000X Plastic Surgery |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2019-09-06 |