| NPI | 1710589692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA A KASHUBA Billing/Consultant 716-548-1112 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-11-15 |
| Last Update Date | 2021-10-01 |