NPI: 1639215064 · WATERTOWN, NY 13601 · Clinic/Center · NPI assigned 01/30/2007
| Authorized Official | BRABANT, THERESA (EXECUTIVE DIRECTOR) |
| NPI Enumeration Date | 01/30/2007 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 12 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 99215 | Prolong outpt/office vis | 12 | 12 | $1K |