NPI | 1073076725 |
---|---|
Other Name | NOAMAN SANNI |
Entity Type | Organization |
Authorized Contact | DORIS PRASHAW O PT Ical Manager 315-393-7171 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
Enumeration Date | 2019-04-10 |
Last Update Date | 2019-04-10 |