| NPI | 1841706751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERMAIN JEAN-CHARLES President 585-394-4746 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NY 374944) |
| Additional Taxonomies | 122300000X Dentist (Licence: NY 374944) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2019-05-30 |