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NPI Code Detail

MEDICARE: NIAGARA OXYGEN INC

MEDICARE: NIAGARA OXYGEN 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
1332BX2000XOxygen Equipment & Supplies (DME)

General Provider Information

NPI Number : 1316912710
Entity Type Code : Organization
Provider Name (Legal Business Name) : NIAGARA OXYGEN INC
Provider Business Mailing Address
First Line : 10563 MAIN ST
Second Line :
City : CLARENCE
State : NY
Zip : 14031-1624
Country : US
Telephone Number : 716-759-7280
Fax Number : 716-759-7281
Provider Business Practice Location Address
First Line : 10563 MAIN ST
Second Line :
City : CLARENCE
State : NY
Zip : 14031-1624
Country : US
Telephone Number : 716-759-7280
Fax Number : 716-759-7281
Authorized Official
Title or Position : PRESIDENT
Name : LYNN CZEKAJ
Credential :
Telephone Number : 716-759-7280
Provider Enumeration Date : 02/20/2006
Last Update Date : 08/22/2020

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