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Organization

UPSTATE MOBILITY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICAH D GOODREAU (OWNER)
(239) 220-9359
Entity
Organization

Contact information

Practice address
414 PARK AVE, CORNING, NY 14830-3436
(239) 220-9359
Mailing address
414 PARK AVE, CORNING, NY 14830-3436
(239) 220-9359

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary

Other

Enumeration date
07/09/2009
Last updated
07/09/2009
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