Organization
PEDIATRIC MEDICAL SUPPLY, INC.
Active
Other names
NebDocs
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER R. CAINES (PRESIDENT)
(585) 381-3060
Entity
Organization
Contact information
Practice address
2511 BROWNCROFT BLVD, SUITE 101, ROCHESTER, NY 14625-1513
(585) 381-3060
(585) 381-3064
Mailing address
2511 BROWNCROFT BLVD, SUITE 101, ROCHESTER, NY 14625-1513
(585) 381-3060
(585) 381-3064
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
04/12/2007
Last updated
03/04/2013
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