Organization
KATHLEEN J. CARDAMONE
Active
Other names
Mobility Plus
Organization subpart
No
Provider details
NPI number
Authorized official
RENEE NOEL (MEDICAL BILLER)
(716) 824-2243
Entity
Organization
Contact information
Practice address
1674 ABBOTT RD, LACKAWANNA, NY 14218-2939
(716) 824-2243
(716) 824-7449
Mailing address
1674 ABBOTT RD, LACKAWANNA, NY 14218-2939
(716) 824-2243
(716) 824-7449
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00011294601
UNIVERA PROVIDER NUMBER
NY
01
—
000551201002
BC OF WNY PROVIDER NUMBER
NY
05
—
01620873
—
NY
01
—
8290350
INDEPENDENT HEALTH
NY
Enumeration date
09/25/2006
Last updated
06/16/2008
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