| NPI | 1902855729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KOZAK Office Manager 585-235-1370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BN1400X Durable Medical Equipment & Medical Supplies, Nursing Facility Supplies |
| 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition | |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2019-10-07 |