| NPI | 1568403400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL HORST BAUMGARTEN Dr/Owner 518-346-6000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2017-12-14 |