| NPI | 1710255120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHRIWAN A MIRZA Owner 315-253-2669 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2011-12-13 |