NPI: 1821178682 · LATHAM, NY 12110 · Health Service Clinic/Center · NPI assigned 10/16/2006
| Authorized Official | FOGARTY, JOANNE (OWNER) |
| NPI Enumeration Date | 10/16/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 12 | $38.34 |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| 90688 | 12 | 12 | $38.34 |