| NPI | 1780860353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HANZLY Dpm 716-823-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 2793) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-14 |