| NPI | 1497334510 |
|---|---|
| Doing Business As | WNY SPORTS & ORTHO |
| 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 | 2021-04-06 |
| Last Update Date | 2021-04-06 |