Healthcare Provider Details

I. General information

NPI: 1780302703
Provider Name (Legal Business Name): ADVANCED RECOVERY ORTHOTICS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/16/2022
Last Update Date: 08/16/2022
Certification Date: 08/16/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

699 PARK LN
CEDARHURST NY
11516-1026
US

IV. Provider business mailing address

699 PARK LN
CEDARHURST NY
11516-1026
US

V. Phone/Fax

Practice location:
  • Phone: 516-744-0010
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: PINCHAS MIRAKOV
Title or Position: OWNER
Credential:
Phone: 516-744-0010