National Provider Identifier
Dynamic Prosthetics Inc
Dynamic Prosthetics 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) 227-0790.
Profile Overview
- NPI
- 1689744690
- Provider Type
- Organization
- Primary Specialty
- Durable Medical Equipment & Medical Supplies
- Enumeration Date
- November 08, 2006
- Last Updated
- August 22, 2020
Practice Location
- 1401 Stone RD Ste 201
- Rochester, NY 14615-1537
Phone: (585) 227-0790
Mailing Address
- 186 Red Hickory Dr
- Rochester, NY 14626-4033
Specialties
- Durable Medical Equipment & Medical Supplies (332B00000X)
Full Record
- NPI
- 1689744690
- Entity Type
- Organization
- EIN
- <UNAVAIL>
- Organization Name
- Dynamic Prosthetics Inc
- Mailing Street Address
- 186 Red Hickory Dr
- Mailing City
- Rochester
- Mailing State
- NY
- Mailing ZIP Code
- 14626-4033
- Mailing Country
- US
- Mailing Phone
- (585) 227-0790
- Mailing Fax
- (585) 227-8562
- Practice Street Address
- 1401 Stone RD Ste 201
- Practice City
- Rochester
- Practice State
- NY
- Practice ZIP Code
- 14615-1537
- Practice Country
- US
- Practice Phone
- (585) 227-0790
- Practice Fax
- (585) 227-8562
- Enumeration Date
- November 08, 2006
- Last Updated
- August 22, 2020
- Authorized Official Last Name
- Cancellieri
- Authorized Official First Name
- Ignazio
- Authorized Official Title
- Owner
- Authorized Official Phone
- (585) 303-1886
- Organization Subpart
- No
- Authorized Official Name Prefix Text
- Mr.
- Authorized Official Credential Text
- CPED, BOC OC, ABC OC
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Durable Medical Equipment & Medical Supplies (332B00000X)