Provider Demographics
NPI:1285099333
Name:STIMMED LLC
Entity type:Organization
Organization Name:STIMMED LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:DICHIARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:716-631-3792
Mailing Address - Street 1:388 EVANS ST
Mailing Address - Street 2:
Mailing Address - City:WILLIAMSVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14221-5626
Mailing Address - Country:US
Mailing Address - Phone:716-631-3792
Mailing Address - Fax:716-631-8237
Practice Address - Street 1:69 DORCHESTER RD
Practice Address - Street 2:
Practice Address - City:BUFFALO
Practice Address - State:NY
Practice Address - Zip Code:14222-1147
Practice Address - Country:US
Practice Address - Phone:716-637-3792
Practice Address - Fax:716-631-8237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-16
Last Update Date:2015-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYI30326Medicare UPIN