Organization
PROSTHETIC HOME SERVICES INC
Active
Other names
Prosthetic Hme Srv Inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK ZUCHLEWSKI CP (PRESIDENT)
(716) 759-9111
Entity
Organization
Contact information
Practice address
10654 MAIN ST, CLARENCE, NY 14031-1704
(716) 759-9111
(716) 759-9112
Mailing address
10654 MAIN ST, CLARENCE, NY 14031-1704
(716) 759-9111
(716) 759-9112
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
CP002723
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02670313
—
NY
Enumeration date
11/14/2007
Last updated
11/12/2008
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