| NPI | 1922337195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY BUCKMAN Practice Administrator 315-464-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology |
| Enumeration Date | 2009-12-16 |
| Last Update Date | 2021-01-12 |