| NPI | 1881078079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW LUSHIA Office Manager 518-563-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: NY 018773) |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: NY 018773) |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |