| NPI | 1568413656 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY A DOLES Billing Manager 585-770-2281 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| Enumeration Date | 2006-05-13 |
| Last Update Date | 2014-11-25 |