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 | 2020-08-22 |