Healthcare Provider Details

I. General information

NPI: 1073315461
Provider Name (Legal Business Name): PROSTHETIC & ORTHOTIC ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2025
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 ROUTE 6 AND 209 STE 102
MILFORD PA
18337-7615
US

IV. Provider business mailing address

4 RIVERSIDE DR
MIDDLETOWN NY
10941-4064
US

V. Phone/Fax

Practice location:
  • Phone: 845-956-0001
  • Fax:
Mailing address:
  • Phone: 845-956-0001
  • 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: THOMAS PASSERO
Title or Position: PRESIDENT/DIRECTOR OF OPERATIONS
Credential:
Phone: 845-956-0001