| NPI | 1689615395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMENIC P AIELLO Owner 315-793-8856 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 093023) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 157472) |
| 207R00000X Internal Medicine (Licence: NY 171805) | |
| 207Q00000X Family Medicine (Licence: NY 140042) | |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2008-07-23 |