| NPI | 1922215979 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA ALFIERIS Office Manager 315-663-0112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NY 216811-1) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2023-11-27 |