| NPI | 1790067866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEMP W BUNDY Site Medical Director 518-724-1060 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RA0201X Internal Medicine, Allergy & Immunology (Licence: NY 235119) |
| Enumeration Date | 2011-09-15 |
| Last Update Date | 2011-09-15 |