Healthcare Provider Details

I. General information

NPI: 1245209980
Provider Name (Legal Business Name): OXYMED CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6509 TRANSIT RD
BOWMANSVILLE NY
14026-1000
US

IV. Provider business mailing address

6509 TRANSIT RD
BOWMANSVILLE NY
14026-1056
US

V. Phone/Fax

Practice location:
  • Phone: 716-684-6525
  • Fax: 716-684-8085
Mailing address:
  • Phone: 716-684-6525
  • Fax: 716-684-8085

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. CHRISTOPHER PASCHKE
Title or Position: CEO
Credential:
Phone: 716-684-6525