| NPI | 1598065922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J SMITH Owner 518-320-8706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 021309) |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2025-02-21 |