| NPI | 1750476503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ANTHONY GRATTON President Pediatrician 518-233-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 076202) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F380828) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2012-11-09 |