Organization
WESTERN NEW YORK MEDICAL SUPPLY INC
Active
Organization
WESTERN NEW YORK MEDICAL SUPPLY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN SCOTT SLACK CERTIFIED FITTER (OWNER/OPERATOR)
(585) 243-3080
Entity
Organization
Contact information
Practice address
3 CENTER ST, BOX 536, GENESEO, NY 14454-1275
(585) 727-6176
(585) 243-4406
Mailing address
87 YARMOUTH STREET, ROCHESTER, NY 14610
(585) 727-6176
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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