MEDICARE: ORTHOTICS LTD

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	332BC3200X	Customized Equipment (DME)
2	335E00000X	Prosthetic/Orthotic Supplier

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1790787018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ORTHOTICS LTD

Provider Business Mailing Address
First Line	:	26 GROVE ST STE 101
Second Line	:
City	:	HARRIMAN
State	:	NY
Zip	:	10926-3240
Country	:	US
Telephone Number	:	914-337-8600
Fax Number	:	914-337-6406

Provider Business Practice Location Address
First Line	:	26 GROVE ST STE 101
Second Line	:
City	:	HARRIMAN
State	:	NY
Zip	:	10926
Country	:	US
Telephone Number	:	914-337-8600
Fax Number	:	914-337-6406

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. NOSSON TREITEL
Credential	:
Telephone Number	:	914-337-8600

Provider Enumeration Date	:	06/01/2005
Last Update Date	:	07/25/2018

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Directions to “ORTHOTICS LTD ” Practice Location

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