| NPI | 1235382110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER KUCZEWSKI Directory 716-568-2236 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2014-12-15 |