| NPI | 1720089089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA V BARBER VP Managed Care Contracting & Payor 315-413-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2022-07-12 |