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General NPI Number Information
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NPI Number | 1700824901
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Entity Type | Individual
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Provider Name | MICHAEL PATRICK MADDEN CPO
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Gender | Male
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 9A HERBERT DR
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City | LATHAM
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State | NY
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Zip | 12110
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Country | US
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Telephone | 518-786-0687
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Fax | 518-786-0687
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Provider Business Mailing Address
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Address Line | # 7 RT 151
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City | EAST GREENBUSH
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State | NY
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Zip | 12061
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Country | US
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Telephone | 518-786-0687
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Fax | 518-786-0687
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 222Z00000X
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Taxonomy Name | Orthotist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State |
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