| NPI | 1699799148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL C. IANNUZZI President 315-464-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2010-10-13 |