NPI 1083871669

G Michael Gublo, CPO

Practitioner Prosthetist Rochester, NY

Practice location

Address: 1401 Stone Rd Suite 201b, Rochester, NY 14615-1537
Phone: (585) 663-5860
Fax: (585) 368-9274
Mailing address: 42 Morning Glory Ln, Rochester, NY 14626-4729

Registered specialties (2)

Prosthetist Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X

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Orthotist

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X

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Registry record

NPI: 1083871669
Entity type: Individual
Sex (as registered): Male
NPI issued: 21 May 2008
Record last updated: 3 Feb 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.