Prothotic Laboratory Inc in Farmingdale - Prosthetic/orthotic Supplier
Prothotic Laboratory Inc - NPI 1376544718
Prothotic Laboratory Inc is a Prosthetic/orthotic Supplier in Farmingdale, New York. Prothotic Laboratory Inc practices all healthcare services and medical treatments related to Prosthetic/orthotic Supplier. The NPI Number for Prothotic Laboratory Inc is 1376544718. The last update date is 2018-09-10.
Prothotic Laboratory Inc's current location address is 2023 New Hwy, Farmingdale, New York. You can contact this provider via phone number 6317534444 and fax number 6317534451. The mailing address for Prothotic Laboratory Inc is 2023 New Hwy, Farmingdale, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prothotic Laboratory Inc |
|---|---|
| Address | 2023 New Hwy, Farmingdale, New York |
| Phone Number | 6317534444 |
| Fax Number | 6317534451 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CEO |
|---|---|
| Authorized Official Name | Quigg J Charles |
| Credentials | BOC ABC |
| Telephone Number | 6317534444 |
NPI Number Detail
| NPI Number | 1376544718 |
|---|---|
| Provider Enumeration Date | 2005-08-09 |
| Last Updated Date | 2018-09-10 |
Provider Mailing Address Detail
| Address | 2023 New Hwy |
|---|---|
| City | Farmingdale |
| State | New York (NY) |
| Post Code | 117351103 |
| Phone Number | 6317534444 |
| Fax Number | 6317534451 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthetic/orthotic Supplier |
|---|---|
| Taxonomy | 335E00000X |
|
Definition: An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological f |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| ANC0027-01 | AMERICHOICE | ||
| 1000002465 | AFFINITY HEALTH PLAN | ||
| A2559046 | OXFORD HEALTH PLAN | ||
| 45797 | AETNA HMO | ||
| 57C0391 | COMMUNITY PREMIER PLUS | ||
| G54141 | EMPIRE HEALTH CHOICE | ||
| 40810000002 | FIDELIS CARE | ||
| A32A0031 | ABC HEALTH PLAN | ||
| 3CO793 | HEALTH NET (PHS | ||
| 8450582 | AETNA NON-HMO |
Post Comment/ Review Below
What is the unique provider identifier assigned to Prothotic Laboratory Inc?
The Prothotic Laboratory Inc has been issued the NPI (National Provider Identifier) 1376544718 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Prothotic Laboratory Inc located?
The Prothotic Laboratory Inc is located at 2023 New Hwy, Farmingdale, NY 117351103.
What is Prothotic Laboratory Inc's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Prothotic Laboratory Inc is Prosthetic/orthotic Supplier, and the taxonomy code that categorizes this field of expertise is 335E00000X.
On what date did the Prothotic Laboratory Inc receive its 1376544718 assignment from the Centers for Medicare & Medicaid Services?
The Prothotic Laboratory Inc was assigned its 1376544718 by the Centers for Medicare & Medicaid Services on 2005-08-09.
As of what date were the Prothotic Laboratory Inc's details last updated?
The information pertaining to the Prothotic Laboratory Inc, including its address, specialty, and other details, was most recently updated on 2018-09-10.