| NPI | 1073182853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLE S HOLDER Director, Payer Enrollment 585-922-0293 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-06-24 |
| Last Update Date | 2021-06-24 |