| NPI | 1912127903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WHALEN Director Of Administration 518-435-2704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease (Licence: NY 54964) |
| Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology (Licence: NY 54964) |
| 207UN0901X Nuclear Medicine Nuclear Cardiology (Licence: NY 54964) | |
| 363AM0700X Physician Assistant Medical (Licence: NY 54964) | |
| 363LA2200X Nurse Practitioner Adult Health (Licence: NY 54964) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2012-03-28 |