| NPI | 1740443548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH LYNNE LAPPIN Do 315-464-6527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 251934) |
| Additional Taxonomies | 286500000X Military Hospital |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2009-04-14 |