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
37 W MAIN ST, LOWER STE, FREDONIA, NY 14063-2135
(716) 672-4704
(716) 672-4706
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
Primary
—
—
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
—
—
332BX2000X
Oxygen Equipment & Supplies (DME)
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000076933
GHI
NY
01
—
00011204301
UNIVERA
NY
05
—
02769799
—
NY
01
—
0551090001
BC AND BS OF WNY
NY
01
—
10325460
FIDELIS
NY
01
—
8208101
IHA
NY
Enumeration date
11/13/2006
Last updated
10/15/2010
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