| NPI | 1992719561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC BURTON Chief Financial Officer 518-761-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NY 3349) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2020-08-22 |