| NPI | 1700471158 |
|---|---|
| Doing Business As | TELEFIXNP |
| Entity Type | Organization |
| Authorized Contact | PHYL MCKINNEY Owner/Member 315-777-2749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2021-03-08 |