| NPI | 1720289523 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES LYDECKER LOWE Physician Owner 518-745-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 156162-1) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |