| NPI | 1053433342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES BLANCHARD President 518-765-3805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2025-09-11 |