Organization
DOVE ORTHOTICS, INC
Active
Organization
DOVE ORTHOTICS, INC
Active
Other names
DOVE MEDICAL SUPPLIES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORETTA CARR-STOCK R.N. (PRESIDENT)
(716) 688-8911
Entity
Organization
Contact information
Practice address
4114 UNION RD, CHEEKTOWAGA, NY 14225-3406
(716) 688-8911
(716) 688-9193
Mailing address
4114 UNION RD, CHEEKTOWAGA, NY 14225-3406
(716) 688-8911
(716) 688-9193
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00030419702
UNIVERA
—
01
—
000551319002
BLUE CROSS & BLUE SHIELD
—
05
—
02094842
—
NY
01
—
8201188
EVERCARE
—
01
—
8290806
INDEPENDENT HEALTH
—
Enumeration date
10/18/2006
Last updated
08/22/2020
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