| NPI | 1861672073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY LYNN SCOTT Physician 315-394-7542 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 198700-1) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2008-04-08 |