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General NPI Number Information
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NPI Number | 1144317918
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Entity Type | Organization
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Legal Business Name | PROSTHETICS BY NELSON, INC.
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Dates
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Enumeration Date | 10/05/2006
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Last Update Date | 05/19/2025
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Provider Practice Location Address
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Address Line | 220 RED TAIL RD STE 10
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City | ORCHARD PARK
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State | NY
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Zip | 14127-1599
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Country | US
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Telephone | 716-675-0001
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Fax | 716-675-8082
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Provider Business Mailing Address
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Address Line | 2959 GENESEE ST
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City | CHEEKTOWAGA
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State | NY
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Zip | 14225-2653
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Country | US
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Telephone | 716-894-6666
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Fax | 716-894-1858
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Authorized Official
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Title or Position | PRESIDENT CEO
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Name | MR. DANIEL WOJCIK
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Credential | CPO
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Telephone | 716-894-6666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State |
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