Organization
ROCHESTER ORTHOPEDIC LABORATORIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER MONCRIEF (PRESIDENT)
(585) 272-1060
Entity
Organization
Contact information
Practice address
300 AIRPARK DR, SUITE 100, ROCHESTER, NY 14624-5723
(585) 272-1060
(585) 272-0871
Mailing address
300 AIRPARK DR, SUITE 100, ROCHESTER, NY 14624-5723
(585) 272-1060
(585) 272-0871
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00422808
—
NY
01
—
VA528-14-D-0089
VA
NY
Enumeration date
09/20/2006
Last updated
11/01/2016
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