| NPI | 1174582373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA J BROWN Practice Manager 315-824-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2251X0800X Physical Therapist, Orthopedic |
| Additional Taxonomies | 247100000X Radiologic Technologist |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2013-12-11 |