| NPI | 1972869683 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY S GREENBERG Owner 315-422-1788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: NY 033643) |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2012-04-06 |