Provider Demographics
NPI:1669618682
Name:ERGO SAFE PRODUCTS LLC
Entity type:Organization
Organization Name:ERGO SAFE PRODUCTS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:WALTER
Authorized Official - Middle Name:A
Authorized Official - Last Name:KOLT
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:716-632-0908
Mailing Address - Street 1:525 AERO DR
Mailing Address - Street 2:
Mailing Address - City:CHEEKTOWAGA
Mailing Address - State:NY
Mailing Address - Zip Code:14225-1443
Mailing Address - Country:US
Mailing Address - Phone:716-632-0908
Mailing Address - Fax:716-632-0327
Practice Address - Street 1:525 AERO DR
Practice Address - Street 2:
Practice Address - City:CHEEKTOWAGA
Practice Address - State:NY
Practice Address - Zip Code:14225-1443
Practice Address - Country:US
Practice Address - Phone:716-632-0908
Practice Address - Fax:716-632-0327
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:PRISM MEDICAL USA INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-12-22
Last Update Date:2008-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies