| NPI | 1851599047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN C VERRAL President 518-745-5280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NY 243122) |
| Enumeration Date | 2007-07-10 |
| Last Update Date | 2012-03-14 |