NPI | 1720269863 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD DUVALL CEO Administrator 315-519-5201 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology |
Additional Taxonomies | 208800000X Urology (Licence: NY 2238001h) |
Enumeration Date | 2007-11-16 |
Last Update Date | 2020-11-24 |