| NPI | 1942617915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WANDA HALLENBECK Revenue Cycle Manager 607-277-2365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SF0001X Clinical Nurse Specialist, Family Health (Licence: NY 338776) |
| Enumeration Date | 2014-07-22 |
| Last Update Date | 2014-07-22 |