Provider Demographics
NPI:1891775698
Name:SANDRA A SCHWAB & BASIL BABEY PTRS
Entity Type:Organization
Organization Name:SANDRA A SCHWAB & BASIL BABEY PTRS
Other - Org Name:THELMA'S
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:SANDRA
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHWAB
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-256-2460
Mailing Address - Street 1:251 PARK AVE
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14607-2723
Mailing Address - Country:US
Mailing Address - Phone:585-256-2460
Mailing Address - Fax:585-256-2467
Practice Address - Street 1:251 PARK AVE
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14607-2723
Practice Address - Country:US
Practice Address - Phone:585-256-2460
Practice Address - Fax:585-256-2467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-01-18
Last Update Date:2013-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY103336OtherPREFERRED CARE
NY81501OtherNORTHWOOD
NY5018515OtherAETNA
NYP0170059TBOtherEXCELLUS
0173980001Medicare ID - Type Unspecified