| NPI | 1831200088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMSON A PACHIKARA CEO 315-797-2314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 203801) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: NY 221758) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2010-07-05 |