| NPI | 1215148739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE MARIE HOWE President 315-853-6575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2008-02-11 |