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General NPI Number Information
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NPI Number | 1063655843
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Entity Type | Organization
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Legal Business Name | EPILEPSY-PRALID, INC.
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Dates
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Enumeration Date | 04/09/2009
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Last Update Date | 08/12/2014
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Provider Practice Location Address
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Address Line | 2 TOWNLINE CIR
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City | ROCHESTER
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State | NY
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Zip | 14623-2536
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Country | US
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Telephone | 585-442-6420
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Fax | 585-442-6964
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Provider Business Mailing Address
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Address Line | 2 TOWNLINE CIR
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City | ROCHESTER
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State | NY
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Zip | 14623-2536
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Country | US
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Telephone | 585-442-6420
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Fax | 585-442-6964
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Authorized Official
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Title or Position | PRESIDENTT
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Name | MR. JEFF SINSEBOX
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Credential |
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Telephone | 585-442-6420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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