| NPI | 1225135205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MONCRIEF President 585-272-1060 |
| Organization Subpart ? | No |
| Primary Taxonomy | 335E00000X Prosthetic/Orthotic Supplier |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-11-01 |