Upstate Mobility LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

UPSTATE MOBILITY LLC

Practice address

414 Park Ave
Corning, NY 14830-3436

Phone

(239) 220-9359

NPI assigned

Jul 9, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Micah D Goodreau

Title

Owner

Phone

(239) 220-9359

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247097600000",
    "number": "1194954313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PARK AVE",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148303436",
            "telephone_number": "239-220-9359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PARK AVE",
            "city": "CORNING",
            "state": "NY",
            "postal_code": "148303436",
            "telephone_number": "239-220-9359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPSTATE MOBILITY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-09",
        "last_updated": "2009-07-09",
        "status": "A",
        "authorized_official_last_name": "GOODREAU",
        "authorized_official_first_name": "MICAH",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "239-220-9359",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alice Margretta Tomb, DDS
• Judy Toombs, RN
• Ashley Marie Tuttle
• Twin Tiers Eye Care Associates, PC
• Lillian A Umbarger, MD
• Mark Edward Vadney, D.O.
• Jessica Vanderpoel, MS OTR/L
• Jagan Mohan Rao Vanjarapu, MD
• Joel A Vanslyke, PT
• Dennis Vargas, DDS

• Durable Medical Equipment & Medical Supplies in Corning, NY
• Providers in Corning, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.