| NPI | 1891979498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THERESA J FARRIGAN Operating Member 518-393-2274 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 48-34960 0) |
| 332BN1400X Durable Medical Equipment & Medical Supplies Nursing Facility Supplies | |
| Enumeration Date | 2007-12-19 |
| Last Update Date | 2010-04-22 |