NPI: 1316190903 · LATHAM, NY 12110 · Early Intervention Provider Agency · NPI assigned 10/28/2008
| Authorized Official | CALLISTER, TAMI (DIRECTOR) |
| NPI Enumeration Date | 10/28/2008 |
| Year | Claims | Total Paid |
|---|---|---|
| 2019 | 63 | $5K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| V2799 | Vision item or service, miscellaneous | 63 | 25 | $5K |