| NPI | 1669662771 |
|---|---|
| Doing Business As | MOBILEMED |
| Entity Type | Organization |
| Authorized Contact | DESTA ANTHONY President 315-437-1693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 303332) |
| Enumeration Date | 2007-07-26 |
| Last Update Date | 2007-07-26 |