| NPI | 1942289103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD HOWARD LOCKWOOD President 315-492-5794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY 149229) |
| Enumeration Date | 2006-01-15 |
| Last Update Date | 2020-08-22 |