| NPI | 1770690737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CODY WHITE A VP Revenue Cycle Services 315-801-4429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 3202003H) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2024-02-09 |