Great Auk Dme LLC

NPI #1962147843 in Cicero, New York

Provider Information

NPI Number: 1962147843
Entity Type: Organization
Organization Name: Great Auk Dme LLC
Primary Specialty: Durable Medical Equipment & Medical Supplies
Enumeration Date: May 4, 2022
Last Updated: May 4, 2022

Practice Location

Address: 8112 BREWERTON RD
City: Cicero
State: New York
ZIP Code: 13039-9586
Phone: (315) 288-6500

Authorized Official

Name: JON TAYLOR
Title: OWNER
Phone: (315) 288-6500

Specialties & Taxonomy Codes

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

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