| NPI | 1841732765 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATTI HAMMOND COO 518-897-2301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 208600000X Surgery | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 208800000X Urology | |
| 363AM0700X Physician Assistant, Medical | |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2016-11-09 |