Individual
MR. JAMES R. PICKARD
Active
Individual
MR. JAMES R. PICKARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
161165267
NY
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01639303
—
NY
01
—
02082626
HCBS TBI MEDICAID WAIVER
NY
01
—
161165267
BC/BS
NY
Enumeration date
02/13/2007
Last updated
09/30/2009
Update your record
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