MEDICARE: CAYUGA ORTHOTICS & PROSTHETICS, 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
1	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	BK	OTHER	NY	EXCELLUS BC/BS
2	PO17005971	OTHER	NY	BLUE CHOICE-EXCELLUS
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336145994
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAYUGA ORTHOTICS & PROSTHETICS, INC.

Provider Business Mailing Address
First Line	:	1583 E MAIN ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14609-7008
Country	:	US
Telephone Number	:	585-482-4558
Fax Number	:	585-482-7887

Provider Business Practice Location Address
First Line	:	1583 E MAIN ST
Second Line	:
City	:	ROCHESTER
State	:	NY
Zip	:	14609-7008
Country	:	US
Telephone Number	:	585-482-4558
Fax Number	:	585-482-7887

Authorized Official
Title or Position	:	PRESIDENT CERT PROSTHETIST OWNER
Name	:	MRS. CATHERINE M RYAN TRENCHARD
Credential	:	CP
Telephone Number	:	585-482-4558

Provider Enumeration Date	:	06/28/2005
Last Update Date	:	08/22/2020

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Directions to “CAYUGA ORTHOTICS & PROSTHETICS, INC. ” Practice Location

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