| NPI | 1891983839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN SPAGNUOLO Office Manager 014-968-5574 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 085537) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |