Organization
O.P.T INC
Active
Organization
O.P.T INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. IGNAZIO CANCELLIERI ABC.CO,BOC.CO, C.PED (PRESIDENT)
(585) 581-5490
Entity
Organization
Contact information
Practice address
1576 LONG POND RD, ROCHESTER, NY 14626-4119
(585) 581-5490
(585) 272-1633
Mailing address
186 RED HICKORY DR, ROCHESTER, NY 14626-4033
(585) 581-5490
(585) 227-8562
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
106375AU
PREFERRED CARE
NY
01
—
106375GD
PREFERRED CARE
NY
01
—
POPTINCROCH
MONROE PLAN
NY
01
—
POPTINCROCH
BLUE CHOICE OF ROCHESTER
—
01
—
POR186146
BC/BS RA
NY
Enumeration date
03/10/2006
Last updated
11/25/2009
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