Organization · Type 2 NPI

Madeline Rose Mastectomy Boutique, LLC

Durable Medical Equipment & Medical Supplies · Vestal, NY

NPI number 1316693765 Active

Practice location

100 Rano Blvd
Vestal, NY 13850-2776

Fax (607) 296-2023

Specialties and licenses

TaxonomyCodeLicense
Mastectomy Fitter 224900000XNone listed
Durable Medical Equipment & Medical Supplies Primary 332B00000XNone listed

Durable Medical Equipment & Medical Supplies: A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient's use in the home and that are usable for an extended period of time.

7 other providers at this address

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About NPI 1316693765

Madeline Rose Mastectomy Boutique, LLC's National Provider Identifier is 1316693765, issued on Feb 24, 2022. The primary taxonomy on file is Durable Medical Equipment & Medical Supplies (332B00000X), and the practice location is in Vestal, NY. The record was last updated on Jul 26, 2022.