| NPI | 1699961185 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN SPAULDING Offfice Manager 607-798-7811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 124306) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2008-03-19 |