Organization
CAYUGA ORTHOTICS & PROSTHETICS, INC.
Active
Organization
CAYUGA ORTHOTICS & PROSTHETICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE M RYAN TRENCHARD CP (PRESIDENT CERT PROSTHETIST OWNER)
(585) 482-4558
Entity
Organization
Contact information
Practice address
1583 E MAIN ST, ROCHESTER, NY 14609-7008
(585) 482-4558
(585) 482-7887
Mailing address
1583 E MAIN ST, ROCHESTER, NY 14609-7008
(585) 482-4558
(585) 482-7887
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00446204
—
NY
01
—
BK
EXCELLUS BC/BS
NY
01
—
PO17005971
BLUE CHOICE-EXCELLUS
NY
Enumeration date
06/28/2005
Last updated
08/22/2020
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