| NPI | 1861153579 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHASCITY MONROE Np/Authorized Official 315-717-7898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2022-01-05 |
| Last Update Date | 2023-12-27 |