Healthcare Provider Details

I. General information

NPI: 1871921437
Provider Name (Legal Business Name): ESCHEN PROSTHETIC AND ORTHOTIC LABORATORIES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2013
Last Update Date: 02/12/2024
Certification Date: 02/12/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 MERRICK AVE STE 210
EAST MEADOW NY
11554-1573
US

IV. Provider business mailing address

6851 JERICHO TPKE STE 125
SYOSSET NY
11791-4454
US

V. Phone/Fax

Practice location:
  • Phone: 516-933-9255
  • Fax: 516-933-4710
Mailing address:
  • Phone: 516-933-9255
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code335E00000X
TaxonomyProsthetic/Orthotic Supplier
License Number
License Number State

VIII. Authorized Official

Name: MR. ANDREW H MEYERS
Title or Position: PRESIDENT
Credential: CPO
Phone: 212-606-1262