| NPI | 1942483730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE T HARRISON Billing Manager 570-421-5123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NY MD043925E) |
| Enumeration Date | 2007-12-14 |
| Last Update Date | 2007-12-14 |