Queen City Medical Supply, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

QUEEN CITY MEDICAL SUPPLY, INC.

Practice address

1370 Union Road
Suite 2
West Seneca, NY 14224-2919

Phone

(716) 675-2700

NPI assigned

Jan 16, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Janelle Deguire

Title

Owner

Phone

(716) 675-2700

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1579132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1579132800000",
    "number": "1679103725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1370 UNION ROAD",
            "address_2": "SUITE 2",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242919",
            "telephone_number": "716-675-2700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 UNION ROAD",
            "address_2": "SUITE 2",
            "city": "WEST SENECA",
            "state": "NY",
            "postal_code": "142242919",
            "telephone_number": "716-675-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEEN CITY MEDICAL SUPPLY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A",
        "authorized_official_last_name": "DEGUIRE",
        "authorized_official_first_name": "JANELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "716-675-2700"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amelia Pyle, L.AC.
• Dorothy Pytlak
• Quality of Life Home Healthcare
• Mallory Jean Quattrone
• Agnes Vida Quebral, MD
• Josephine Queen, RN
• Gloria S Quirante, MD
• Rachael Schneider Licensed Behavior Analyst PLLC
• Koehler Leslie Radder, MASSAGE THERAPIST
• Michael P Rade, MD

• Durable Medical Equipment & Medical Supplies in West Seneca, NY
• Providers in West Seneca, NY by specialty
• Durable Medical Equipment & Medical Supplies in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.