MEDICARE: ORTHOSCIENTIFIC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	335E00000X	Prosthetic/Orthotic Supplier		NY

General Provider Information

NPI Number	:	1154524627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOSCIENTIFIC

Provider Business Mailing Address
First Line	:	860 EAST BROADWAY 2Z
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	860 E BROADWAY APT 2Z
Second Line	:
City	:	LONG BEACH
State	:	NY
Zip	:	11561-4712
Country	:	US
Telephone Number	:	516-376-2537
Fax Number	:

Authorized Official
Title or Position	:	CO-OWNER
Name	:	MIKE NEWMAN
Credential	:
Telephone Number	:	516-376-2537

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	08/22/2020

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