| NPI | 1881084820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A SVOBODA Practice Plan Administrator 315-464-3119 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2015-01-29 |
| Last Update Date | 2015-01-29 |