| NPI | 1609052273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH GENAU Dpm 716-634-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY N005026) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |