| NPI | 1962463851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KEARNEY O'BRIEN Director Of Third Party Reimburseme 607-762-3078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2006-03-30 |
| Last Update Date | 2021-03-19 |