MEDICARE: KNAPP ORTHO SERVICES 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
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1467058651
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	KNAPP ORTHO SERVICES INC

Provider Business Mailing Address
First Line	:	2433 KNAPP ST STE C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1005
Country	:	US
Telephone Number	:	585-443-3261
Fax Number	:

Provider Business Practice Location Address
First Line	:	2433 KNAPP ST STE C
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11235-1005
Country	:	US
Telephone Number	:	585-443-3261
Fax Number	:	718-408-2346

Authorized Official
Title or Position	:	PRESIDENT
Name	:	KHRYSTYNA MROCHKO
Credential	:
Telephone Number	:	718-431-3643

Provider Enumeration Date	:	12/11/2020
Last Update Date	:	01/29/2024

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