Provider Demographics
NPI:1417487760
Name:EXOSKELETAL TECHNOLOGIES, LLC
Entity Type:Organization
Organization Name:EXOSKELETAL TECHNOLOGIES, LLC
Other - Org Name:EXOGEAR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:
Authorized Official - Last Name:WOLANSKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-998-1197
Mailing Address - Street 1:140 SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:NY
Mailing Address - Zip Code:14217-1167
Mailing Address - Country:US
Mailing Address - Phone:833-396-4327
Mailing Address - Fax:
Practice Address - Street 1:140 SCHOOL ST
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:NY
Practice Address - Zip Code:14217-1167
Practice Address - Country:US
Practice Address - Phone:833-396-4327
Practice Address - Fax:833-817-6550
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-19
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BC3200XSuppliersDurable Medical Equipment & Medical SuppliesCustomized Equipment
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies