| NPI | 1811982911 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY KNOWLES Credentialing Manager 518-525-5634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: NY 4102003H) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207R00000X Internal Medicine | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 261QU0200X Clinic/Center, Urgent Care (Licence: NY 4102003H) | |
| 276400000X Rehabilitation, Substance Use Disorder Unit (Licence: NY 4102003H) | |
| Enumeration Date | 2005-09-14 |
| Last Update Date | 2019-11-22 |