NPI: 1245095413 · LACKAWANNA, NY 14218 · Multi-Specialty Clinic/Center · NPI assigned 02/16/2024
| Authorized Official | HUNT, SHEILA (CHIEF PROGRAM OFFICER) |
| NPI Enumeration Date | 02/16/2024 |
| Year | Claims | Total Paid |
|---|---|---|
| 2024 | 77 | $9K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99205 | Prolong outpt/office vis | 77 | 77 | $9K |