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NPI Code Detail

MEDICARE: ULTRAPEDICS LTD

MEDICARE: ULTRAPEDICS 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
1332B00000XDurable Medical Equipment & Medical SuppliesCP002645NY
2335E00000XProsthetic/Orthotic Supplier45PO00001600NJ
3335E00000XProsthetic/Orthotic SupplierCP002645NY

Other Identifiers

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

General Provider Information

NPI Number : 1922001155
Entity Type Code : Organization
Provider Name (Legal Business Name) : ULTRAPEDICS LTD
Provider Business Mailing Address
First Line : 355 OVINGTON AVENUE
Second Line : SUITE 104
City : BROOKLYN
State : NY
Zip : 11209-1483
Country : US
Telephone Number : 718-748-4806
Fax Number : 718-748-4884
Provider Business Practice Location Address
First Line : 355 OVINGTON AVENUE
Second Line : SUITE 104
City : BROOKLYN
State : NY
Zip : 11209-1483
Country : US
Telephone Number : 718-748-4806
Fax Number : 718-748-4884
Authorized Official
Title or Position : OWNER
Name : TULIO RIVERA
Credential : CPO
Telephone Number : 718-748-4806
Provider Enumeration Date : 05/23/2005
Last Update Date : 03/24/2009

Similar Medicare Providers

1003803727 — JOE FRANCIS KALANGIE MD
Practice Location Address:
355 OVINGTON AVE , SUITE 104
BROOKLYN, NY
11209-1483
Practice Phone: 718-748-4747
Practice Fax:
1689658007 — JAN M SLOMBA MD
Practice Location Address:
355 OVINGTON AVE , SUITE 203
BROOKLYN, NY
11209-1483
Practice Phone: 718-759-0108
Practice Fax: 718-759-0109
1972523207 — HENCY SCUTT N.P.,
Practice Location Address:
355 OVINGTON AVE , SUITE 203
BROOKLYN, NY
11209-1483
Practice Phone: 718-759-0109
Practice Fax: 718-759-0101
1659383032 — PROSTHETIC PROFESSIONALS, INC.
Practice Location Address:
355 OVINGTON AVE , SUITE 104
BROOKLYN, NY
11209-1483
Practice Phone: 718-748-4880
Practice Fax: 718-748-4884
1437324852 — DR. JENNIFER ELIZABETH NOTO D.M.D.
Practice Location Address:
355 OVINGTON AVE , SUITE 100
BROOKLYN, NY
11209-1483
Practice Phone: 718-836-7109
Practice Fax: 718-836-1245
1083027833 — OVINGTON DENTISTRY
Practice Location Address:
355 OVINGTON AVE , SUITE #101
BROOKLYN, NY
11209-1483
Practice Phone: 718-833-2880
Practice Fax: 718-833-2991

Directions to “ULTRAPEDICS LTD ” Practice Location

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