| NPI | 1801969043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD J HAUSLER Business Practice Owner 518-783-7173 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 1356241) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2016-01-25 |