| NPI | 1407289077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT JAMES PICKETT CEO 518-573-9180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 005216) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY 005216) | |
| Enumeration Date | 2013-08-18 |
| Last Update Date | 2022-03-17 |