| NPI | 1922321934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL KRONENBERG Member 315-470-7375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 208800000X Urology |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| 363LP2300X Nurse Practitioner, Primary Care | |
| 363AM0700X Physician Assistant, Medical | |
| 207T00000X Neurological Surgery | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2010-03-04 |
| Last Update Date | 2010-09-17 |