| NPI | 1932418076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY CREAMER President 315-492-5825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: NY 014302) |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |