| NPI | 1710068309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED L TALARICO Owner 315-733-1148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NY 1445061) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NY 1445061) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-01-10 |