| NPI | 1972563070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJOHN MEROLA President 315-452-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| 207R00000X Internal Medicine | |
| 207V00000X Obstetrics & Gynecology | |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2010-04-13 |