| NPI | 1689748204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIE TODD Practice Administrator 315-426-0200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2010-04-22 |