| NPI | 1346384435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH LUNDEEN Practice Administrator 315-464-9375 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2008-12-22 |