| NPI | 1225494941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON D RABENOLD Orthopaedic Surgeon/ Owner 315-491-2696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: MO 2009010059) |
| Enumeration Date | 2016-01-11 |
| Last Update Date | 2016-01-11 |