| NPI | 1770646804 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABUL K AZAD Owner 518-459-1800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine Pulmonary Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2008-06-17 |