| NPI | 1083890644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL AQUINO Dpm 716-884-1325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY N003386) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-06-18 |