Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225CX0006X | Orientation and Mobility Training Provider |
NPI | 1790035392 |
---|---|
Provider Name | James Robert Marscher |
First Address | Utica, NY 13501-2317 |
Second Address | Utica, NY 13501-2317 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/09/2012 |
Last Update Date | 12/09/2012 |