Upstate Mobility LLC

NPI #1194954313 in Corning, New York

Provider Information

NPI Number
1194954313
Entity Type
Organization
Organization Name
Upstate Mobility LLC
Primary Specialty
Durable Medical Equipment & Medical Supplies
Enumeration Date
Jul 9, 2009
Last Updated
Jul 9, 2009

Practice Location

Address
414 PARK AVE
ZIP Code
14830-3436
Phone
(239) 220-9359

Authorized Official

Name
MR. MICAH D GOODREAU
Title
OWNER
Phone
(239) 220-9359

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies

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