| NPI | 1730195223 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS J THURBER Podiatrist 607-734-4582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: NY N003322-1) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC005738) |
| 213E00000X Podiatrist (Licence: NY N005567-1) | |
| 213E00000X Podiatrist (Licence: PA SC005555) | |
| 213E00000X Podiatrist (Licence: NY N003995-1) | |
| 213E00000X Podiatrist (Licence: PA SC005739) | |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2013-02-20 |