Provider Demographics
NPI:1194914325
Name:ATTICA FURNITURE INC.
Entity type:Organization
Organization Name:ATTICA FURNITURE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TREAS
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:A
Authorized Official - Last Name:STOKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:585-591-2353
Mailing Address - Street 1:703 CREEK RD
Mailing Address - Street 2:
Mailing Address - City:ATTICA
Mailing Address - State:NY
Mailing Address - Zip Code:14011-9601
Mailing Address - Country:US
Mailing Address - Phone:585-591-2353
Mailing Address - Fax:585-591-2355
Practice Address - Street 1:703 CREEK RD
Practice Address - Street 2:
Practice Address - City:ATTICA
Practice Address - State:NY
Practice Address - Zip Code:14011-9601
Practice Address - Country:US
Practice Address - Phone:585-591-2353
Practice Address - Fax:585-591-2355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-24
Last Update Date:2008-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY6003620001Medicare NSC