| NPI | 1265511067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HUMPHREY CEO 315-251-3106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2006-11-03 |
| Last Update Date | 2020-04-13 |