Provider Demographics
NPI: | 1568733749 |
---|---|
Name: | KOLT ACCESS AND LIFT |
Entity type: | Organization |
Organization Name: | KOLT ACCESS AND LIFT |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | PRESIDENT |
Authorized Official - Prefix: | MRS |
Authorized Official - First Name: | CYNTHIA |
Authorized Official - Middle Name: | M |
Authorized Official - Last Name: | KOLT |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 716-580-3422 |
Mailing Address - Street 1: | 95 CATHERINE ST |
Mailing Address - Street 2: | |
Mailing Address - City: | WILLIAMSVILLE |
Mailing Address - State: | NY |
Mailing Address - Zip Code: | 14221 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 716-580-3422 |
Mailing Address - Fax: | 716-580-3568 |
Practice Address - Street 1: | 95 CATHERINE ST |
Practice Address - Street 2: | |
Practice Address - City: | WILLIAMSVILLE |
Practice Address - State: | NY |
Practice Address - Zip Code: | 14221 |
Practice Address - Country: | US |
Practice Address - Phone: | 716-580-3422 |
Practice Address - Fax: | 716-580-3568 |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2012-01-20 |
Last Update Date: | 2022-06-29 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 332B00000X | Suppliers | Durable Medical Equipment & Medical Supplies | ||
Yes | 171WH0202X | Other Service Providers | Contractor | Home Modifications | Group - Single Specialty |