| NPI | 1881289585 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA NICOLE KASAS-DEVINE Chief Medical Officer 518-437-5535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
| Enumeration Date | 2021-03-04 |
| Last Update Date | 2021-03-04 |