NPI | 1942292545 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANKAR P. DAS Medical Director 518-438-7638 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: NY 0101220R) |
Enumeration Date | 2005-08-19 |
Last Update Date | 2014-08-07 |