| NPI | 1982951281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MURPHY Administrator 315-474-1561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0401X Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-08 |