| NPI | 1083880900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE COLES GUBLO President 585-663-5860 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier (Licence: NY CPO01744) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2009-02-03 |