| NPI | 1275292633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DRAKE LAMEN President/CEO 607-337-4113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2023-08-31 |