| NPI | 1326081183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL T CARELLI Executive Director Of Operations 315-458-3600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: PA 7200000236) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2012-11-05 |