| NPI | 1730453929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILAIRE J MEUISSEN Owner 518-439-7490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology (Licence: NY 1145251) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2012-03-06 |