| NPI | 1982227682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ELLEN ASHE Authorized Official 716-913-5012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-05-28 |
| Last Update Date | 2020-05-28 |