| NPI | 1891809992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMA MURTHY GODISHALA Physician/President 315-253-4459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Enumeration Date | 2006-08-18 |
| Last Update Date | 2012-07-06 |