Organization
SBJ PC
Active
Organization
SBJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA A KASHUBA (BILLING/CONSULTANT)
(716) 548-1112
Entity
Organization
Contact information
Practice address
6 WARWICK CIR, ANDOVER, MA 01810-2573
(716) 548-1112
Mailing address
PO BOX 1118, BUFFALO, NY 14231-1118
(716) 548-1112
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
11/15/2020
Last updated
10/01/2021
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