NPI | 1922048370 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANE MARIE STAMAS Credentialing Coordinator 518-782-3742 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207R00000X Internal Medicine |
Additional Taxonomies | 207Q00000X Family Medicine |
207U00000X Nuclear Medicine | |
207V00000X Obstetrics & Gynecology | |
208000000X Pediatrics | |
2085R0202X Radiology, Diagnostic Radiology | |
2085R0204X Radiology, Vascular & Interventional Radiology | |
208600000X Surgery | |
208D00000X General Practice | |
Enumeration Date | 2006-06-07 |
Last Update Date | 2024-03-27 |