| NPI | 1184776759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE PRISLUPSKI Audiologist 570-343-7710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA AT000012L) |
| Additional Taxonomies | 332S00000X Hearing Aid Equipment (Licence: PA AT000012L) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2015-03-13 |