| NPI | 1689620163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY TUCKER President 315-464-4255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 208600000X Surgery | |
| Enumeration Date | 2006-05-26 |
| Last Update Date | 2021-03-03 |