| NPI | 1780994111 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PADMA SRIPADA Doctor 518-391-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY NYS219899) |
| Enumeration Date | 2010-10-19 |
| Last Update Date | 2010-10-19 |