| NPI | 1578115317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R THIBAULT Executive Director 518-262-5606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 335U00000X Organ Procurement Organization |
| Enumeration Date | 2019-07-11 |
| Last Update Date | 2019-07-11 |