| NPI | 1861676009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFEOMA CLARISSA OJUKWU Pediatrician 518-438-7086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 208353) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2007-12-24 |