| NPI | 1770683666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KUMAR BHAGAVATULA Physician/ Owner 315-492-5430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-09-23 |