| NPI | 1750626834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY TERK Credentialing Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 133NN1002X Nutritionist Nutrition, Education |
| 133V00000X Dietitian, Registered | |
| 208M00000X Hospitalist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 174H00000X Health Educator | |
| 207P00000X Emergency Medicine | |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 163WD0400X Registered Nurse Diabetes Educator | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 174400000X Specialist | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2024-06-25 |