| NPI | 1265841472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ANDREW BRAHS Owner 315-569-3472 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center, Rehabilitation (Licence: NY 026057) |
| Enumeration Date | 2014-08-13 |
| Last Update Date | 2014-08-13 |