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Organization
HOD ADVANCED CRANIAL PROSTHETICS LLC
Active
Organization
HOD ADVANCED CRANIAL PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PORTIA SHELBY IVERY (CRANIAL PROSTHESIS SPECIALIST)
(585) 694-9175
Entity
Organization
Contact information
Practice address
345 LAKE AVE APT 4, ROCHESTER, NY 14608-1083
(585) 694-9175
(585) 694-9175
Mailing address
345 LAKE AVE APT 4, ROCHESTER, NY 14608-1083
(585) 694-9175
(585) 694-9175
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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