| NPI | 1952493686 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SURYAKANT Z PATEL Co Owner 315-598-7105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2010-07-15 |