| NPI | 1376784710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ROGERS Authorized Official 716-829-3670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-03-16 |
| Last Update Date | 2020-07-23 |