| 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 |