Healthcare Provider Details
I. General information
NPI: 1649384447
Provider Name (Legal Business Name): CARE ORTHOTICS & PROSTHETICS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/18/2006
Last Update Date: 05/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8776 BAY PKWY
BROOKLYN NY
11214-5602
US
IV. Provider business mailing address
8776 BAY PKWY
BROOKLYN NY
11214-5602
US
V. Phone/Fax
- Phone: 718-265-3037
- Fax: 718-265-3038
- Phone: 718-265-3037
- Fax: 718-265-3038
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 335E00000X |
| Taxonomy | Prosthetic/Orthotic Supplier |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
MAX
LEVIN
Title or Position: OWNER
Credential:
Phone: 718-265-3037