| NPI | 1649958950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA KASHUBA Manager/Biller 716-598-1894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2023-07-06 |
| Last Update Date | 2023-07-06 |