| NPI | 1992805915 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKESH SHARMA Physician/ Owner 315-253-3100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2008-05-06 |