Healthcare Provider Details

I. General information

NPI: 1194414672
Provider Name (Legal Business Name): LIMB LENGTHENING ORTHOPEDICS MEDICAL SERVICES OF NY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/02/2023
Last Update Date: 05/02/2023
Certification Date: 05/02/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

519 E 72ND ST STE 204
NEW YORK NY
10021-4028
US

IV. Provider business mailing address

535 E 70TH ST
NEW YORK NY
10021-4823
US

V. Phone/Fax

Practice location:
  • Phone: 212-606-1637
  • Fax: 212-774-2744
Mailing address:
  • Phone: 212-606-1637
  • Fax: 212-774-2744

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. TAYLOR J REIF
Title or Position: MD
Credential: MD
Phone: 212-606-1637