| NPI | 1386990638 |
|---|---|
| Other Name | SPORTS CARE EXPRESS |
| Entity Type | Organization |
| Authorized Contact | PAUL KRONENBERG Sole Shareholder 315-470-7825 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2012-07-24 |