| NPI | 1063892776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE WILLIAM OLSEN Owner/President 518-368-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-06-08 |
| Last Update Date | 2015-06-08 |