| NPI | 1932100393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY COAKLEY CEO 315-824-7099 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207L00000X Anesthesiology | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207T00000X Neurological Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 208000000X Pediatrics | |
| 208600000X Surgery | |
| 208M00000X Hospitalist | |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2024-09-18 |