| NPI | 1942501747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA M SULIK President 315-452-2501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207R00000X Internal Medicine | |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| 208600000X Surgery | |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2013-09-18 |