| NPI | 1962134205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARINA CANADAS Physician/Owner 315-395-4465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YX0602X Otolaryngology, Otolaryngic Allergy |
| 207YP0228X Otolaryngology, Pediatric Otolaryngology | |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2022-06-27 |