Organization
PEDIATRIC MEDICAL SUPPLY, INC.
Active
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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