| NPI | 1710961800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A HUGHES Executive Assistant 315-836-2167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 2201205R) |
| Enumeration Date | 2005-12-01 |
| Last Update Date | 2007-10-09 |