NPI | 1770670036 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY S. HOOSE Co Owner/Physical Therapist 315-265-7917 |
Organization Subpart ? | No |
Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: NY 021008-1) |
Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: NY 004089-1) |
302R00000X Health Maintenance Organization (Licence: NY 013547-1) | |
Enumeration Date | 2006-10-06 |
Last Update Date | 2008-06-25 |