| NPI | 1780765370 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY G CARNEVALE Owner 315-789-2153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2025-09-11 |