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NPI Code Detail

MEDICARE: GREATER ROCHESTER PROSTHETICS & ORTHOTICS INC

MEDICARE: GREATER ROCHESTER PROSTHETICS & ORTHOTICS INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1335E00000XProsthetic/Orthotic Supplier

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1467635433
Entity Type Code : Organization
Provider Name (Legal Business Name) : GREATER ROCHESTER PROSTHETICS & ORTHOTICS INC
Provider Business Mailing Address
First Line : 1576 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-5197
Country : US
Telephone Number : 585-436-7550
Fax Number : 585-436-4022
Provider Business Practice Location Address
First Line : 1576 LONG POND RD
Second Line :
City : ROCHESTER
State : NY
Zip : 14626-4119
Country : US
Telephone Number : 585-436-7550
Fax Number : 585-436-4022
Authorized Official
Title or Position : OWNER
Name : PETER J PISTILLI
Credential : CPO
Telephone Number : 585-436-7550
Provider Enumeration Date : 12/12/2007
Last Update Date : 11/24/2010

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Directions to “GREATER ROCHESTER PROSTHETICS & ORTHOTICS INC ” Practice Location

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