National Provider Identifier
Upstate Regional Medical Supply ,Inc.
Upstate Regional Medical Supply ,Inc. is listed in the NPPES registry with a primary specialty of Durable Medical Equipment & Medical Supplies in Rochester, NY and a listed phone number of (585) 243-3080.
Profile Overview
- NPI
- 1568575439
- Provider Type
- Organization
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- August 16, 2006
- Last Updated
- April 05, 2021
Practice Location
- 1593 E Main St
- Rochester, NY 14609-7056
Phone: (585) 243-3080
Specialties
- Durable Medical Equipment & Medical Supplies (332B00000X)
Full Record
- NPI
- 1568575439
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Upstate Regional Medical Supply ,Inc.
- Other Organization Name
- <Unavail>
- Provider Other Organization Name Type Code
- 6
- Mailing Street Address
- 1593 E Main St
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14609-7056
- Mailing Country
- US
- Mailing Phone
- (585) 243-3080
- Mailing Fax
- (585) 243-4406
- Practice Street Address
- 1593 E Main St
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14609-7056
- Practice Country
- US
- Practice Phone
- (585) 243-3080
- Practice Fax
- (585) 243-4406
- Enumeration Date
- August 16, 2006
- Last Updated
- April 05, 2021
- Authorized Official Last Name
- Slack
- Authorized Official First Name
- Allen
- Authorized Official Middle Name
- Scott
- Authorized Official Title
- President
- Authorized Official Phone
- (585) 727-6176
- Organization Subpart
- Yes
- Parent Organization Name
- UPSTATE REGIONAL MEDICAL SUPPLY, INC
- Parent Organization TIN
- <UNAVAIL>
- Authorized Official Name Prefix Text
- Mr.
- Certification Date
- April 05, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Durable Medical Equipment & Medical Supplies (332B00000X)