NPI 1699130450
Broome County
Practice location
- Address
- 413 Old Mill Rd, Vestal, NY 13850-3520
- Phone
- (607) 763-4464
- Fax
- (607) 763-4468
Authorised official
- Name
- Gregory Kilmer
- Title
- Commissioner
- Phone
- (607) 763-4469
Registered specialties
Bus
Primary
Registry record
- NPI
- 1699130450
- Entity type
- Organization
- NPI issued
- 22 Dec 2015
- Record last updated
- 22 Dec 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.