| NPI | 1760265540 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAJESH GHIMIRE Partner/Physician 518-330-2843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 2083B0002X Preventive Medicine, Obesity Medicine |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-16 |