NPI | 1013124510 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL FANTAUZZO Owner 585-475-1951 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2007-05-16 |
Last Update Date | 2020-08-22 |