| NPI | 1851370563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL CASTILLO DULAY President 518-432-5777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 1150721) |
| Additional Taxonomies | 208D00000X General Practice (Licence: NY 1150721) |
| Enumeration Date | 2006-01-11 |
| Last Update Date | 2020-08-22 |