Organization
UPSTATE REGIONAL MEDICAL SUPPLY ,INC.
Active
Parent organization
UPSTATE REGIONAL MEDICAL SUPPLY, INC
Other names
Heman Braces & Orthotics
Organization subpart
Yes
Provider details
NPI number
Legal business name
UPSTATE REGIONAL MEDICAL SUPPLY, INC
Authorized official
MR. ALLEN SCOTT SLACK (PRESIDENT)
(585) 727-6176
Entity
Organization
Contact information
Practice address
1593 E MAIN ST, ROCHESTER, NY 14609-7056
(585) 243-3080
(585) 243-4406
Mailing address
1593 E MAIN ST, ROCHESTER, NY 14609-7056
(585) 243-3080
(585) 243-4406
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
332B00000X
NY
Other
Enumeration date
08/16/2006
Last updated
04/05/2021
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