| NPI | 1811197718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARROCH W.O. MOORES M.D./Owner 518-581-8739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: NY 161924-1) |
| Enumeration Date | 2007-07-19 |
| Last Update Date | 2007-07-19 |