| NPI | 1578873790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN PATRIE Manager 518-489-0842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2010-10-21 |
| Last Update Date | 2010-10-21 |