NPI | 1891382123 |
---|---|
Entity Type | Organization |
Authorized Contact | DEREK ROBERT COONEY Chief Medical Officer 315-552-1050 |
Organization Subpart ? | No |
Primary Taxonomy | 207P00000X Emergency Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2020-12-21 |
Last Update Date | 2020-12-21 |