MEDICARE: ATLANTIC ORTHOTICS AND REHABILITATION

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	C13525	NY

General Provider Information

NPI Number	:	1255774352
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATLANTIC ORTHOTICS AND REHABILITATION

Provider Business Mailing Address
First Line	:	103 OAKLAND AVE
Second Line	:
City	:	WEST HEMPSTEAD
State	:	NY
Zip	:	11552-1924
Country	:	US
Telephone Number	:	516-256-9306
Fax Number	:	718-865-0895

Provider Business Practice Location Address
First Line	:	103 OAKLAND AVE
Second Line	:
City	:	WEST HEMPSTEAD
State	:	NY
Zip	:	11552-1924
Country	:	US
Telephone Number	:	516-256-9306
Fax Number	:	718-865-0895

Authorized Official
Title or Position	:	OWNER
Name	:	ROCHELLE B SILBERMAN
Credential	:
Telephone Number	:	516-256-9306

Provider Enumeration Date	:	04/09/2013
Last Update Date	:	11/24/2015

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Directions to “ATLANTIC ORTHOTICS AND REHABILITATION ” Practice Location

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