Organization
ADVANCED PROSTHETIC DESIGN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CARRIE COLES GUBLO P.T. (PRESIDENT)
(585) 663-5860
Entity
Organization
Contact information
Practice address
1401 STONE RD, SUITE 201B, ROCHESTER, NY 14615-1537
(585) 663-5860
(585) 663-5860
Mailing address
42 MORNING GLORY LN, ROCHESTER, NY 14626-4729
(585) 663-5860
(585) 663-5860
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CPO01744
NY
Other
Enumeration date
04/30/2008
Last updated
02/03/2009
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