Organization
OMNI PAIN AND WELLNESS CENTERS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN EDWARD KUBIAK (DIRECTOR OF BUSINESS DEVELOPMENT)
(716) 667-1980
Entity
Organization
Contact information
Practice address
4855 CAMP RD, SUITE 400, HAMBURG, NY 14075-2600
(716) 649-1612
(716) 649-1663
Mailing address
4855 CAMP RD, SUITE 400, HAMBURG, NY 14075-2600
(716) 649-1612
(716) 649-1663
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Enumeration date
03/16/2010
Last updated
03/16/2010
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