| NPI | 1922111988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A KUCZEWSKI Director 716-568-2236 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: N/A) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2014-12-15 |