Healthcare Provider Details

I. General information

NPI: 1316018021
Provider Name (Legal Business Name): ALLIED ORTHOPEDIC APPLIANCES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 10/15/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37 W MAIN ST LOWER STE
FREDONIA NY
14063-2135
US

IV. Provider business mailing address

1647 SASSAFRAS ST
ERIE PA
16502-1858
US

V. Phone/Fax

Practice location:
  • Phone: 716-672-4704
  • Fax: 716-672-4706
Mailing address:
  • Phone: 814-877-6121
  • Fax: 814-459-1858

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. KATHY L DUBOWSKI
Title or Position: PRESIDENT
Credential: RN, MSN
Phone: 814-877-6121