| NPI | 1861609042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH MICHELLE BURGHARDT President 315-452-2124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: NY 185289) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2008-06-19 |