Organization
ULTRAMEDICAL SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER MARIANO (PRESIDENT)
(585) 598-2929
Entity
Organization
Contact information
Practice address
7374 PITTSFORD PALMYRA RD, FAIRPORT, NY 14450-9599
(585) 598-2929
(585) 598-2920
Mailing address
7374 PITTSFORD PALMYRA RD, FAIRPORT, NY 14450-9599
(585) 598-2929
(585) 598-2920
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02621790
—
NY
01
—
135419GH
PREFERRED CARE
NY
01
—
7189627
AETNA
NY
01
—
892281
MVP HEALTHCARE
NY
01
—
PO170059UM
BLUE CROSS BLUE SHIELD
NY
Enumeration date
10/31/2006
Last updated
06/26/2008
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