| NPI | 1861263550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL CAVARETTA Manager 716-208-1708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2024-01-11 |