| NPI | 1952885915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY KNOWLES Credentialing Manager 518-525-5634 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 282N00000X General Acute Care Hospital |
| Additional Taxonomies | 207RH0003X Internal Medicine, Hematology & Oncology |
| 2085R0001X Radiology, Radiation Oncology | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| Enumeration Date | 2018-09-17 |
| Last Update Date | 2022-03-07 |