Organization
HOD ADVANCED CRANIAL PROSTHETICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PORTIA SHELBY IVERY (CRANIAL PROSTHESIS SPECIALIST)
(585) 694-9175
Entity
Organization
Contact information
Practice address
345 LAKE AVE APT 4, ROCHESTER, NY 14608-1083
(585) 694-9175
(585) 694-9175
Mailing address
345 LAKE AVE APT 4, ROCHESTER, NY 14608-1083
(585) 694-9175
(585) 694-9175
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
—
—
Other
Enumeration date
03/26/2026
Last updated
03/26/2026
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