| NPI | 1831790369 |
|---|---|
| Doing Business As | DIABETES PREVENTION PROGRAM |
| Entity Type | Organization |
| Authorized Contact | JACQUELYN A GRECO Specialist, Provider Enrollment 518-770-7518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2020-11-02 |