| NPI | 1932232378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH A THURHEIMER Owner And Original Member 315-782-7550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: NY 210993) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |