| NPI | 1861855397 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALVARO ALFONSO OLAYO Medical Director 607-331-4511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: NY 240621) |
| Enumeration Date | 2016-04-01 |
| Last Update Date | 2024-12-24 |