| NPI | 1366653826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD DUVALL CEO 315-519-5201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy (Licence: NY 2238001H) |
| Additional Taxonomies | 261QH0700X Clinic/Center, Hearing and Speech (Licence: NY 2238001H) |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: NY 2238001H) | |
| Enumeration Date | 2007-05-25 |
| Last Update Date | 2021-02-18 |