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NPI Code Detail

MEDICARE: ORTHOSERVE INC

MEDICARE: ORTHOSERVE INC
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
1332BC3200XCustomized Equipment (DME)

General Provider Information

NPI Number : 1225483043
Entity Type Code : Organization
Provider Name (Legal Business Name) : ORTHOSERVE INC
Provider Business Mailing Address
First Line : 2987 WEBSTER AVE
Second Line :
City : BRONX
State : NY
Zip : 10458-2478
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2603 WEBSTER AVE
Second Line :
City : BRONX
State : NY
Zip : 10458-4845
Country : US
Telephone Number : 718-618-7503
Fax Number : 718-618-7504
Authorized Official
Title or Position : PRESIDENT
Name : DANIL BABAKHANOV
Credential :
Telephone Number : 917-882-0717
Provider Enumeration Date : 04/29/2016
Last Update Date : 12/06/2017

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Directions to “ORTHOSERVE INC ” Practice Location

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