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Organization

UPSTATE REGIONAL MEDICAL SUPPLY ,INC.

Active
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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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