| NPI | 1912071291 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM M BOCK President 315-252-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
| 261QH0100X Clinic/Center, Health Services | |
| 363LF0000X Nurse Practitioner, Family | |
| 367A00000X Advanced Practice Midwife | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2020-08-22 |