| NPI | 1952661738 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY COLLINS Director, Primary Care 518-841-7407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: NY 121785) |
| Enumeration Date | 2012-05-25 |
| Last Update Date | 2012-05-25 |