| NPI | 1922417328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY PALOMBARO Member 607-727-1826 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: NY 038425) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: NY 038425) |
| Enumeration Date | 2014-08-11 |
| Last Update Date | 2014-08-11 |