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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