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Organization

BAY CITY ORTHOCARE, LLC

Active
Parent organization
BAY CITY ORTHOCARE, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
BAY CITY ORTHOCARE, LLC
Authorized official
MRS. DIANE L DESARRO (ADMINISTRATIVE DIRECTOR)
(814) 452-4632
Entity
Organization

Contact information

Practice address
560 W 3RD ST, JAMESTOWN, NY 14701-4776
(716) 483-0289
(716) 483-0292
Mailing address
2313 PEACH ST, ERIE, PA 16502-2822
(814) 452-4632
(814) 452-4636

Taxonomy

Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Enumeration date
01/24/2014
Last updated
01/24/2014
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