| NPI | 1073681169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN A BEAULIEU C.E.O. 518-792-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2013-08-22 |