Organization
GREAT AUK HEALTHCARE CONNECT
Active
Other names
Great Auk Medical Supply LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JON TAYLOR (OWNER)
(315) 657-3282
Entity
Organization
Contact information
Practice address
8112 BREWERTON RD, CICERO, NY 13039-9586
(315) 657-3282
Mailing address
8114 BREWERTON RD, CICERO, NY 13039-9586
(315) 657-3282
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
10/27/2021
Last updated
05/04/2022
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