| NPI | 1962464800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK FRUITERMAN Managing Partner 518-489-4704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Additional Taxonomies | 208600000X Surgery |
| 133NN1002X Nutritionist, Nutrition, Education | |
| 133V00000X Dietitian, Registered | |
| 363A00000X Physician Assistant | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2006-04-05 |
| Last Update Date | 2011-06-22 |