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NPI Code Detail

MEDICARE: CENTRAL NEW YORK MEDICAL PRODUCTS, INC.

MEDICARE: CENTRAL NEW YORK MEDICAL PRODUCTS, 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
1332BC3200XCustomized Equipment (DME)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1982600581
Entity Type Code : Organization
Provider Name (Legal Business Name) : CENTRAL NEW YORK MEDICAL PRODUCTS, INC.
Provider Business Mailing Address
First Line : 749 W GENESEE ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2305
Country : US
Telephone Number : 315-428-9945
Fax Number : 315-428-0737
Provider Business Practice Location Address
First Line : 749 W GENESEE ST
Second Line :
City : SYRACUSE
State : NY
Zip : 13204-2305
Country : US
Telephone Number : 315-428-9945
Fax Number : 315-428-0737
Authorized Official
Title or Position : VICE PRESIDENT
Name : MRS. GWENDOLYN M. KOMUDA
Credential :
Telephone Number : 315-428-9945
Provider Enumeration Date : 06/28/2005
Last Update Date : 08/02/2024

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