HOD ADVANCED CRANIAL PROSTHETICS LLC NPI 1356280184

NPI Information

  • NPI: 1356280184
  • Provider Name: HOD ADVANCED CRANIAL PROSTHETICS LLC
  • Classification: Durable Medical Equipment & Medical Supplies - 332BX2000X
  • Specialization: Oxygen Equipment & Supplies
  • Entity Type: Organization
  • Address: 345 LAKE AVE APT 4
    ROCHESTER, NY
    ZIP 14608
  • Phone: (585) 694-9175

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NPI Details

HOD ADVANCED CRANIAL PROSTHETICS LLC is an oxygen equipment and supplies durable medical equipment medical supplies in Rochester, NY. HOD ADVANCED CRANIAL PROSTHETICS LLC NPI is 1356280184. The provider is registered as an organization entity type.

The provider's business location address is:

345 LAKE AVE APT 4
ROCHESTER, NY
ZIP 14608-083
Phone: (585) 694-9175
Fax: (585) 694-9175

The provider's authorized official is Portia Shelby Ivery .
The authorized official title is Cranial Prosthesis Specialist and has the following contact phone number (585) 694-9175.

The enumeration date for this NPI number is 3/26/2026 and was last updated on 3/26/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1332BX2000XDurable Medical Equipment & Medical SuppliesOxygen Equipment & SuppliesYes

What is NPI?

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This page was last updated on: 11/21/2025

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