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Madeline Rose Mastectomy Boutique, Llc
Durable Medical Equipment & Medical Supplies in Vestal, New York
NPI 1316693765

Madeline Rose Mastectomy Boutique, Llc is a Durable Medical Equipment & Medical Supplies based in Vestal, NY. Madeline Rose Mastectomy Boutique, Llc practices in Vestal, NY. The NPI Number for Madeline Rose Mastectomy Boutique, Llc is 1316693765 and holds a License No. (New York).

The current practice location address for Madeline Rose Mastectomy Boutique, Llc is 100 Rano Blvd, Vestal, NY and can be reached out via phone at 607-296-2021 and via fax at 607-296-2023.

Location: 100 Rano Blvd, Vestal, NY, 13850-2776
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1316693765
Provider Name
Madeline Rose Mastectomy Boutique, Llc
Credential
Provider Entity Type
Organization
Address
100 Rano Blvd, Vestal, NY, 13850-2776
Phone Number
607-296-2021
Fax Number
607-296-2023
Provider Enumeration Date
02/24/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
100 Rano Blvd
City
Vestal
State
New York
Zip
13850-2776
Phone Number
607-296-2021
Fax Number
607-296-2023
person
Provider Business Mailing Address Details
Address
100 Rano Blvd
City
Vestal
State
New York
Zip
13850-2776
Phone Number
607-296-2021
Fax Number
607-296-2023
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Mastectomy Fitter
Speciality
-
Taxonomy
224900000X
License No.
()
Definition
An individual trained in the fitting and adjusting of breast prostheses and management of post-mastectomy prostheses services.
person
Provider's Taxonomy Details 2
Type
Suppliers
Classification
Durable Medical Equipment & Medical Supplies
Speciality
-
Taxonomy
332B00000X
License No.
()
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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