| NPI | 1891991501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN BUTLER Family Nurse Practitioner 607-432-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 332310) |
| Enumeration Date | 2007-06-21 |
| Last Update Date | 2007-10-11 |