| NPI | 1851588362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYDIA A VERNOLA Billing Coordinator 607-584-4104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 218013-1) |
| Enumeration Date | 2007-09-28 |
| Last Update Date | 2007-09-28 |