NPI | 1740653153 |
---|---|
Entity Type | Organization |
Authorized Contact | VALERIE MEYERS Nurse Practitioner In Adult Health 315-668-5010 |
Organization Subpart ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 301393) |
Enumeration Date | 2015-11-06 |
Last Update Date | 2020-03-31 |