| NPI | 1790886315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER W TINSLEY Owner 315-255-3331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology (Licence: NY 127128) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |