NPI | 1750790648 |
---|---|
Other Name | CMH BREAST AND VEIN CARE |
Entity Type | Organization |
Authorized Contact | BRYAN T MAHONEY Chief Financial Officer 518-828-8249 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NY 1001000H) |
Enumeration Date | 2014-08-05 |
Last Update Date | 2016-05-13 |