| 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 |