| NPI | 1740673979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE E BELLANGER Credentialing Coordinator 518-452-1337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |