| NPI | 1811201601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSEANNE CRAFT Office Manager 315-724-7366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 211037-1) |
| Enumeration Date | 2010-08-04 |
| Last Update Date | 2010-09-18 |