| NPI | 1437142346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL L CARR Owner 315-422-9233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: NY 198155) |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2013-04-19 |