| NPI | 1851305577 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA PASCO Executive VP, CFO 518-761-0300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
| Additional Taxonomies | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| 207Q00000X Family Medicine | |
| 207R00000X Internal Medicine | |
| 208000000X Pediatrics | |
| 261QU0200X Clinic/Center Urgent Care | |
| 213E00000X Podiatrist | |
| 104100000X Social Worker | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2024-02-23 |