Organization
MONROE WHEELCHAIR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS WESTERDAHL (PRESIDENT)
(585) 385-3920
Entity
Organization
Contact information
Practice address
6724 THOMPSON RD, SYRACUSE, NY 13211-2183
(315) 445-2220
(315) 445-2059
Mailing address
2165 BRIGHTON HENRIETTA TOWN LINE RD, SUITE 1, ROCHESTER, NY 14623-2755
(585) 385-3920
(585) 385-6966
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000001796
BC/BS OF CENTRAL NEW YORK
—
01
—
000551000003
HEALTHNOW
—
05
—
02632671
—
NY
01
—
040401000140
FIDELIS CARE
—
01
—
64249
DMENSION BENEFIT MGMT
—
01
—
7183753
AETNA
—
01
—
888336
MVP
—
01
—
9660309
GHI
—
Enumeration date
05/16/2006
Last updated
10/19/2015
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