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Mr. Bethanapalli Bose, CPO
Prosthetist in Brooklyn, New York
NPI 1174696736

Bethanapalli Bose is a Prosthetist based in Fair Lawn, NY. Bethanapalli Bose practices in Brooklyn, NY and has the professional credentials of CPO. The NPI Number for Bethanapalli Bose is 1174696736 and holds a License No. 1127940 (New York).

The current practice location address for Bethanapalli Bose is 6911 Fort Hamilton Pkwy, Brooklyn, NY and can be reached out via phone at 718-680-0225 and via fax at 201-796-5414.

Location: 6911 Fort Hamilton Pkwy, Brooklyn, NY, 07410-3802
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1174696736
Provider Name
Bethanapalli Bose
Credential
CPO
Provider Entity Type
Individual
Gender
Male
Address
6911 Fort Hamilton Pkwy, Brooklyn, NY, 07410-3802
Phone Number
718-680-0225
Fax Number
201-796-5414
Provider Enumeration Date
11/15/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00835727 05 NY
institution
Provider Business Practice Location Address Details
Address
6911 Fort Hamilton Pkwy
City
Brooklyn
State
New York
Zip
11228-1101
Phone Number
718-680-0225
Fax Number
201-796-5414
person
Provider Business Mailing Address Details
Address
6911 Fort Hamilton Pkwy
City
Brooklyn
State
New York
Zip
11228-1101
Phone Number
718-680-0225
Fax Number
201-796-5414
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Orthotist
Speciality
-
Taxonomy
222Z00000X
License No.
1127940 (New York)
Definition
A health care professional who is specifically educated and trained to manage comprehensive orthotic patient care, including musculoskeletal and neuromuscular anomalies resulting from injuries or disease processes involving the lower extremity, upper extremity or spinal segment/s and positional deformation of the cranium. Orthotists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Prosthetist
Speciality
-
Taxonomy
224P00000X
License No.
1127940 (New York)
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
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