| NPI | 1881761484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEARL ANDREWS Exec. Admin 607-273-1526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0005X Clinic/Center, Ambulatory Family Planning Facility (Licence: NY 5401205R) |
| Additional Taxonomies | 332900000X Non-Pharmacy Dispensing Site (Licence: NY 5401205R) |
| Enumeration Date | 2006-11-29 |
| Last Update Date | 2014-06-25 |