Susan Scheftics Mastectomy Boutique

NPI #1154504645 in Camillus, New York

Provider Information

NPI Number: 1154504645
Entity Type: Organization
Organization Name: Susan Scheftics Mastectomy Boutique
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: Dec 7, 2007
Last Updated: Dec 27, 2011

Practice Location

Address: 5700 W GENESEE ST
City: Camillus
State: New York
ZIP Code: 13031-3200
Phone: (315) 468-9743

Authorized Official

Name: SUSAN SCHEFTIC
Title: OWNER
Phone: (315) 498-9086

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Durable Medical Equipment & Medical Supplies	332B00000X	Primary

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