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Organization

ALLIED ORTHOPEDIC APPLIANCES INC

Active
Other names
Great Lakes Home Healthcare Services
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. KATHY L DUBOWSKI RN, MSN (PRESIDENT)
(814) 877-6121
Entity
Organization

Contact information

Practice address
512 W 3RD ST STE 1, JAMESTOWN, NY 14701-4857
(716) 664-5092
(716) 664-6570
Mailing address
1647 SASSAFRAS ST, ERIE, PA 16502-1858
(814) 877-6121
(814) 459-1858

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
57AL0000864
NY
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
025358
NY
335E00000X
Prosthetic/Orthotic Supplier

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000076933
GHI
NY
01
00011204301
UNIVERA
NY
05
00610802
NY
01
0551090001
BC/BS WNY
NY
05
1007347250005
PA
01
10325460
FIDELIS
NY
01
8208101
IHA
NY
Enumeration date
10/23/2006
Last updated
08/03/2011
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