NPI | 1972010858 |
---|---|
Entity Type | Organization |
Authorized Contact | THADDEUS L GRIFFIN CEO 585-748-1194 |
Organization Subpart ? | No |
Primary Taxonomy | 172A00000X Driver (Licence: NY 198104499) |
Additional Taxonomies | 172A00000X Driver (Licence: NY 670358397) |
172A00000X Driver (Licence: 198104499) | |
Enumeration Date | 2018-01-02 |
Last Update Date | 2018-01-02 |