| NPI | 1740074673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL L MILES President/CEO 315-253-8477 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2025-04-07 |
| Last Update Date | 2025-04-07 |