| NPI | 1699208520 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN MARTIN Nurse 518-439-0408 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: NY 223126-1) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |