| NPI | 1417080557 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GIBSON BOURGEOIS Manager Dispenser 518-456-1030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment (Licence: NY 15000013605) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |