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Mr. James R. Pickard
Durable Medical Equipment & Medical Supplies in Jordan, New York
NPI 1144362575

James R. Pickard is a Durable Medical Equipment & Medical Supplies based in Jordan, NY. James R. Pickard practices in Jordan, NY. The NPI Number for James R. Pickard is 1144362575 and holds a License No. 161165267 (New York).

The current practice location address for James R. Pickard is 1075 Whiting Rd, Jordan, NY and can be reached out via phone at 315-689-3896 and via fax at 315-689-7280.

Location: 1075 Whiting Rd, Jordan, NY, 13080-9749
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1144362575
Provider Name
James R. Pickard
Credential
Provider Entity Type
Individual
Gender
Male
Address
1075 Whiting Rd, Jordan, NY, 13080-9749
Phone Number
315-689-3896
Fax Number
315-689-7280
Provider Enumeration Date
02/13/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02082626 01 NY HCBS TBI MEDICAID WAIVER
01639303 05 NY
161165267 01 NY BC/BS
institution
Provider Business Practice Location Address Details
Address
1075 Whiting Rd
City
Jordan
State
New York
Zip
13080-9749
Phone Number
315-689-3896
Fax Number
315-689-7280
person
Provider Business Mailing Address Details
Address
1075 Whiting Rd
City
Jordan
State
New York
Zip
13080-9749
Phone Number
315-689-3896
Fax Number
315-689-7280
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Contractor
Speciality
Home Modifications
Taxonomy
171WH0202X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
161165267 (New York)
Definition
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.
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